South Georgia Periodontics, Pc in Valdosta - Periodontics
South Georgia Periodontics, Pc - NPI 1194981910
South Georgia Periodontics, Pc is a Periodontics in Valdosta, Georgia. South Georgia Periodontics, Pc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for South Georgia Periodontics, Pc is 1194981910. The last update date is 2008-07-31.
South Georgia Periodontics, Pc's current location address is 307 Georgetown Cir, Valdosta, Georgia. You can contact this provider via phone number 2292470437 and fax number 2292424395. The mailing address for South Georgia Periodontics, Pc is 307 Georgetown Cir, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Georgia Periodontics, Pc |
|---|---|
| Address | 307 Georgetown Cir, Valdosta, Georgia |
| Phone Number | 2292470437 |
| Fax Number | 2292424395 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Depta B. Brent |
| Credentials | DMD |
| Telephone Number | 2292470437 |
NPI Number Detail
| NPI Number | 1194981910 |
|---|---|
| Provider Enumeration Date | 2008-07-31 |
| Last Updated Date | 2008-07-31 |
Provider Mailing Address Detail
| Address | 307 Georgetown Cir |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316024113 |
| Phone Number | 2292470437 |
| Fax Number | 2292424395 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to South Georgia Periodontics, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The South Georgia Periodontics, Pc has been assigned the NPI (National Provider Identifier) 1194981910. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the South Georgia Periodontics, Pc's physical address?
The South Georgia Periodontics, Pc is physically located at 307 Georgetown Cir, in the city of Valdosta, GA, with the postal code 316024113.
What is South Georgia Periodontics, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for South Georgia Periodontics, Pc is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194981910 to South Georgia Periodontics, Pc?
The South Georgia Periodontics, Pc received its 1194981910 assignment from the Centers for Medicare & Medicaid Services on 2008-07-31.
As of what date were the South Georgia Periodontics, Pc's details last updated?
The information pertaining to the South Georgia Periodontics, Pc, including its address, specialty, and other details, was most recently updated on 2008-07-31.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO