PERIODONTAL CENTER OF GEORGIA
NPI 1639930118
Dentist - Periodontics in Conyers, GA

Q: What is Periodontal Center Of Georgia, PC's NPI number?

The NPI number for Periodontal Center Of Georgia, PC is 1639930118. It was assigned to this organization in the NPPES registry on January 22, 2024. The provider is doing business as Periodontal Center Of Georgia.

Q: What is Periodontal Center Of Georgia, PC's specialty?

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

Active since January 22, 2024

1920 GA-20, SUITE B, CONYERS, GA 30013(770) 767-0603(770) 929-4387 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Periodontal Center Of Georgia NPPES

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

PERIODONTAL CENTER OF GEORGIA (NPI 1639930118) is a healthcare organization registered as a periodontics in Conyers, Georgia and active in the NPI registry since January 2024. The organization lists Brittany Bennett, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639930118

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NamePERIODONTAL CENTER OF GEORGIA, PC

Location Address1920 GA-20, SUITE BConyers, GA 30013-2048

Mailing Address1920 Ga-20, Suite BConyers, GA 30013-2048 · (770) 767-0603 · Fax (770) 929-4387

Phone(770) 767-0603

Fax(770) 929-4387

Organization SubpartNo

Authorized OfficialBrittany BennettOffice Manager · (770) 922-8733

Enumeration DateJanuary 22, 2024

Last NPPES UpdateOctober 31, 2024

NPPES CertifiedOctober 28, 2024

✔ NPI 1639930118 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.

1920 GA-20, Conyers, GA 30013

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Other Names 1

Doing Business AsPeriodontal Center Of Georgia

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

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

DR. MONICA PATEL DMD, MS

Dentist (Endodontics)

1920 GA-20, SUITE A
CONYERS, GA 30013

Rockdale County (817) 983-3057

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 Center Of Georgia, PC's NPI number?

The NPI number for Periodontal Center Of Georgia, PC is 1639930118. It was assigned to this organization in the NPPES registry on January 22, 2024. The provider is doing business as Periodontal Center Of Georgia.

Where is Periodontal Center Of Georgia, PC located?

Periodontal Center Of Georgia, PC is located at 1920 Ga-20 Suite B, Conyers, GA 30013. The listed phone number is (770) 767-0603.

What is Periodontal Center Of Georgia, 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 Center Of Georgia, PC was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.