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DR. HENRY LEON DIVERSI JR. DMD MSD
NPI 1386798718
Dentist - Periodontics in Atlanta, GA

Active since January 23, 2007
1895 PHOENIX BLVD, SUITE 138, ATLANTA, GA 30349(770) 996-2900(770) 996-0403 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Henry Leon Diversi Jr. Dmd Msd NPPES

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

DR. HENRY LEON DIVERSI JR. DMD MSD (NPI 1386798718) is an individual periodontics provider in Atlanta, Georgia, licensed in Georgia (6518) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1386798718
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. HENRY LEON DIVERSI JR.Credential: DMD MSD
Location Address1895 PHOENIX BLVD, SUITE 138Atlanta, GA 30349
Mailing Address1895 Phoenix Blvd, Suite 138Atlanta, GA 30349 · (770) 996-2900 · Fax (770) 996-0403
Phone(770) 996-2900
Fax(770) 996-0403
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1386798718 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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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.

SOUTHERN HOME CARE SERVICES, INC.
Home Health
1895 PHOENIX BLVD, SUITE 100
COLLEGE PARK, GA 30349
Fulton County (770) 909-3937
GORDON BERRY BURNETT SR. DDS
Dentist (General Practice)
1895 PHOENIX BLVD, SUITE 148
COLLEGE PARK, GA 30349
Fulton County (770) 997-4598
PERIODONTAL ASSOCIATES PC
Dentist (Periodontics)
1895 PHOENIX BLVD, STE 138
ATLANTA, GA 30349
Fulton County (770) 996-2900
SOUTHERN HOME CARE SERVICES, INC.
Home Health
1895 PHOENIX BLVD, SUITE 100
COLLEGE PARK, GA 30349
Fulton County (770) 909-3937
MRS. SHELIA HEAD LCSW
Social Worker (Clinical)
1895 PHOENIX BLVD, 166
ATLANTA, GA 30349
Fulton County (404) 271-8443
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 Henry Diversi's NPI number?

The NPI number for Henry Diversi is 1386798718. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Henry Diversi located?

Henry Diversi practices at 1895 Phoenix Blvd Suite 138, Atlanta, GA 30349. The listed phone number is (770) 996-2900.

What is Henry Diversi'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 Henry Diversi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.