Healthcare Provider Details

I. General information

NPI: 1447185228
Provider Name (Legal Business Name): PERLOW DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

562 DUTCH VALLEY RD NE
ATLANTA GA
30324-5304
US

IV. Provider business mailing address

562 DUTCH VALLEY RD NE
ATLANTA GA
30324-5304
US

V. Phone/Fax

Practice location:
  • Phone: 404-502-6882
  • Fax:
Mailing address:
  • Phone: 404-502-6882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JACOB PERLOW
Title or Position: OWNER/DENTIST
Credential: DMD
Phone: 404-502-6882