Provider Demographics
NPI:1831245901
Name:DENTISTRY AT NORTHPOINT
Entity type:Organization
Organization Name:DENTISTRY AT NORTHPOINT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MAXTON
Authorized Official - Last Name:PEHRSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:770-346-7717
Mailing Address - Street 1:4000 N POINT PKWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-8801
Mailing Address - Country:US
Mailing Address - Phone:770-346-7717
Mailing Address - Fax:
Practice Address - Street 1:4000 N POINT PKWY
Practice Address - Street 2:SUITE 500
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-8801
Practice Address - Country:US
Practice Address - Phone:770-346-7717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0112591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty