MEDICARE: DENTISTRY AT NORTHPOINT

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	011259	GA

General Provider Information

NPI Number	:	1831245901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTISTRY AT NORTHPOINT

Provider Business Mailing Address
First Line	:	4000 N POINT PKWY
Second Line	:	SUITE 500
City	:	ALPHARETTA
State	:	GA
Zip	:	30022-8801
Country	:	US
Telephone Number	:	770-346-7717
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 N POINT PKWY
Second Line	:	SUITE 500
City	:	ALPHARETTA
State	:	GA
Zip	:	30022-8801
Country	:	US
Telephone Number	:	770-346-7717
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID MAXTON PEHRSON
Credential	:	D.M.D.
Telephone Number	:	770-346-7717

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	08/22/2020

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Directions to “DENTISTRY AT NORTHPOINT ” Practice Location

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