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SOUTH GEORGIA PERIODONTICS, PC
NPI 1194981910
Dentist - Periodontics in Valdosta, GA

Active since July 31, 2008
307 GEORGETOWN CIR, VALDOSTA, GA 31602(229) 247-0437(229) 242-4395 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Georgia Periodontics, Pc NPPES

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

SOUTH GEORGIA PERIODONTICS, PC (NPI 1194981910) is a healthcare organization registered as a periodontics in Valdosta, Georgia and active in the NPI registry since July 2008. The organization lists Brent B. Depta, Owner, as its authorized official.

NPPES Registry Identity

NPI1194981910
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSOUTH GEORGIA PERIODONTICS, PC
Location Address307 GEORGETOWN CIRValdosta, GA 31602-4113
Mailing Address307 Georgetown CirValdosta, GA 31602-4113 · (229) 247-0437 · Fax (229) 242-4395
Phone(229) 247-0437
Fax(229) 242-4395
Organization SubpartNo
Authorized OfficialBrent B. DeptaOwner · (229) 247-0437
Enumeration DateJuly 31, 2008
✔ NPI 1194981910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
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.
307 GEORGETOWN CIR, Valdosta, GA 31602
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 South Georgia Periodontics, PC's NPI number?

The NPI number for South Georgia Periodontics, PC is 1194981910. It was assigned to this organization in the NPPES registry on July 31, 2008.

Where is South Georgia Periodontics, PC located?

South Georgia Periodontics, PC is located at 307 Georgetown Cir, Valdosta, GA 31602. The listed phone number is (229) 247-0437.

What is South Georgia Periodontics, 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 South Georgia Periodontics, PC was last updated on July 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.