Periodontal Associates Pc in Atlanta - Periodontics
Periodontal Associates Pc - NPI 1184845273
Periodontal Associates Pc is a Periodontics in Atlanta, Georgia. Periodontal Associates Pc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontal Associates Pc is 1184845273. The last update date is 2020-08-22.
Periodontal Associates Pc's current location address is 1895 Phoenix Blvd, Atlanta, Georgia. You can contact this provider via phone number 7709962900 and fax number 7709960403. The mailing address for Periodontal Associates Pc is 1895 Phoenix Blvd, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontal Associates Pc |
|---|---|
| Address | 1895 Phoenix Blvd, Atlanta, Georgia |
| Phone Number | 7709962900 |
| Fax Number | 7709960403 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Diversi Leon Henry |
| Credentials | DMD MSD |
| Telephone Number | 7709962900 |
NPI Number Detail
| NPI Number | 1184845273 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1895 Phoenix Blvd |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 30349 |
| Phone Number | 7709962900 |
| Fax Number | 7709960403 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 6518 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Periodontal Associates Pc by the Centers for Medicare & Medicaid Services?
The Periodontal Associates Pc has been assigned the NPI (National Provider Identifier) 1184845273 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Periodontal Associates Pc is geographically located?
The Periodontal Associates Pc is physically situated at the following location: 1895 Phoenix Blvd, Atlanta, GA, 30349.
What is Periodontal Associates Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Periodontal Associates Pc is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184845273 to Periodontal Associates Pc?
The Centers for Medicare & Medicaid Services assigned the 1184845273 to Periodontal Associates Pc on 2007-05-02.
As of what date was the information pertaining to Periodontal Associates Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Periodontal Associates Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.