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PERIODONTAL ASSOCIATES PC
NPI 1184845273
Dentist - Periodontics in Atlanta, GA

Active since May 02, 2007
1895 PHOENIX BLVD, STE 138, ATLANTA, GA 30349(770) 996-2900(770) 996-0403 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Periodontal Associates Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERIODONTAL ASSOCIATES PC (NPI 1184845273) is a healthcare organization registered as a periodontics in Atlanta, Georgia and active in the NPI registry since May 2007. The organization lists Henry Leon Diversi, President, as its authorized official.

NPPES Registry Identity

NPI1184845273
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL ASSOCIATES PC
Location Address1895 PHOENIX BLVD, STE 138Atlanta, GA 30349
Mailing Address1895 Phoenix Blvd, Ste 138Atlanta, GA 30349 · (770) 996-2900 · Fax (770) 996-0403
Phone(770) 996-2900
Fax(770) 996-0403
Organization SubpartNo
Authorized OfficialHenry Leon DiversiPresident · (770) 996-2900
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1184845273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in GA · 6518
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 structures and tissues.

1895 PHOENIX BLVD, Atlanta, GA 30349
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GORDON BERRY BURNETT SR. DDS
Dentist (General Practice)
1895 PHOENIX BLVD, SUITE 148
COLLEGE PARK, GA 30349
Fulton County (770) 997-4598
DR. HENRY LEON DIVERSI JR. DMD MSD
Dentist (Periodontics)
1895 PHOENIX BLVD, SUITE 138
ATLANTA, GA 30349
Fulton County (770) 996-2900
MRS. SHELIA HEAD LCSW
Social Worker (Clinical)
1895 PHOENIX BLVD, 166
ATLANTA, GA 30349
Fulton County (404) 271-8443
SOUTHERN HOME CARE SERVICES, INC.
Home Health
1895 PHOENIX BLVD, SUITE 100
COLLEGE PARK, GA 30349
Fulton County (770) 909-3937
SOUTHERN HOME CARE SERVICES, INC.
Home Health
1895 PHOENIX BLVD, SUITE 100
COLLEGE PARK, GA 30349
Fulton County (770) 909-3937
GORDON B BURNETT DDS PC
Dentist (General Practice)
1895 PHOENIX BLVD, SUITE 148
COLLEGE PARK, GA 30349
Fulton County (770) 997-4598

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Periodontal Associates PC's NPI number?

The NPI number for Periodontal Associates PC is 1184845273. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Periodontal Associates PC located?

Periodontal Associates PC is located at 1895 Phoenix Blvd Ste 138, Atlanta, GA 30349. The listed phone number is (770) 996-2900.

What is Periodontal Associates PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontal Associates PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.