MEDICARE: PERLOW DENTAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1447185228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERLOW DENTAL LLC

Provider Business Mailing Address
First Line	:	562 DUTCH VALLEY RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-5304
Country	:	US
Telephone Number	:	404-502-6882
Fax Number	:

Provider Business Practice Location Address
First Line	:	562 DUTCH VALLEY RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-5304
Country	:	US
Telephone Number	:	404-502-6882
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. JACOB PERLOW
Credential	:	DMD
Telephone Number	:	404-502-6882

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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