BRENT DEPTA D.M.D.
NPI 1649370339
Dentist - Periodontics in Valdosta, GA

Q: What is Brent Depta's NPI number?

The NPI number for Brent Depta is 1649370339. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Q: What is Brent Depta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brent Depta was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 23, 2006

2711 WINDEMERE DR, VALDOSTA, GA 31602(229) 247-0437(229) 242-4395 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brent Depta D.m.d. NPPES

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

BRENT DEPTA D.M.D. (NPI 1649370339) is an individual periodontics provider in Valdosta, Georgia, licensed in Georgia (012319) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1649370339

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameBRENT DEPTACredential: D.M.D.

Location Address2711 WINDEMERE DRValdosta, GA 31602-1696

Mailing Address2711 Windemere DrValdosta, GA 31602-1696 · (229) 247-0437 · Fax (229) 242-4395

Phone(229) 247-0437

Fax(229) 242-4395

Sole ProprietorYes

Enumeration DateSeptember 23, 2006

Last NPPES UpdateApril 9, 2020

NPPES CertifiedApril 9, 2020

✔ NPI 1649370339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in GA · 012319

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.

2711 WINDEMERE DR, Valdosta, GA 31602

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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. EUGENE IRVIN ROWELL III DMD

Dentist (Periodontics)

2711 WINDEMERE DR
VALDOSTA, GA 31602

Lowndes County (229) 247-0437

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 Brent Depta's NPI number?

The NPI number for Brent Depta is 1649370339. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is Brent Depta located?

Brent Depta practices at 2711 Windemere Dr, Valdosta, GA 31602. The listed phone number is (229) 247-0437.

What is Brent Depta'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 Brent Depta was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.