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PERIODONTAL SPECIALISTS OF VININGS
NPI 1205231271
Dentist - Periodontics in Atlanta, GA

Active since November 03, 2014
100 GALLERIA PKWY SE, SUITE 250, ATLANTA, GA 30339(678) 236-0500(678) 236-0586 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Periodontal Specialists Of Vinings NPPES

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

PERIODONTAL SPECIALISTS OF VININGS (NPI 1205231271) is a healthcare organization registered as a periodontics in Atlanta, Georgia and active in the NPI registry since November 2014. The organization lists Husam Bezreh, Owner, as its authorized official.

NPPES Registry Identity

NPI1205231271
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL SPECIALISTS OF VININGS
Location Address100 GALLERIA PKWY SE, SUITE 250Atlanta, GA 30339-3179
Mailing Address100 Galleria Pkwy Se, Suite 250Atlanta, GA 30339-3179 · (678) 236-0500 · Fax (678) 236-0586
Phone(678) 236-0500
Fax(678) 236-0586
Organization SubpartNo
Authorized OfficialHusam BezrehOwner · (678) 677-9288
Enumeration DateNovember 3, 2014
Last NPPES UpdateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
✔ NPI 1205231271 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.
100 GALLERIA PKWY SE, Atlanta, GA 30339
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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

Other Providers at the Same Location NPPES 2

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

KURAOKA CLINIC
Internal Medicine
100 GALLERIA PKWY SE, SUITE 660
ATLANTA, GA 30339
Cobb County (770) 980-0000
YOSHIHITO SHIMIZU D.D.S.
Dentist
100 GALLERIA PKWY SE, SUITE6 670
ATLANTA, GA 30339
Cobb County (770) 272-1818

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 Specialists Of Vinings's NPI number?

The NPI number for Periodontal Specialists Of Vinings is 1205231271. It was assigned to this organization in the NPPES registry on November 3, 2014.

Where is Periodontal Specialists Of Vinings located?

Periodontal Specialists Of Vinings is located at 100 Galleria Pkwy SE Suite 250, Atlanta, GA 30339. The listed phone number is (678) 236-0500.

What is Periodontal Specialists Of Vinings'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 Specialists Of Vinings was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.