PEACH STATE DENTAL IMPLANTS AND PERIODONTICS
NPI 1740956572
Dentist - Periodontics in Suwanee, GA

Q: What is Peach State Dental Implants And Periodontics's specialty?

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

Active since August 20, 2021

4300 WESTBROOK RD # F, SUWANEE, GA 30024(770) 310-7822 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Peach State Dental Implants And Periodontics NPPES

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

PEACH STATE DENTAL IMPLANTS AND PERIODONTICS (NPI 1740956572), doing business as Peach State Laser Periodontics & Implants, is a healthcare organization registered as a periodontics in Suwanee, Georgia and active in the NPI registry since August 2021. The organization lists Malissa Nicole Gianfala, Hr/operations Manager, as its authorized official.

NPPES Registry Identity

NPI1740956572

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NamePEACH STATE DENTAL IMPLANTS AND PERIODONTICS

Location Address4300 WESTBROOK RD # FSuwanee, GA 30024-4987

Mailing Address4300 Westbrook Rd # FSuwanee, GA 30024-4987 · (770) 310-7822

Phone(770) 310-7822

Organization SubpartNo

Authorized OfficialMalissa Nicole GianfalaHr/operations Manager · (770) 500-8446

Enumeration DateAugust 20, 2021

NPPES CertifiedAugust 20, 2021

✔ NPI 1740956572 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.

4300 WESTBROOK RD # F, Suwanee, GA 30024

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Other Names 1

Doing Business AsPeach State Laser Periodontics & Implants

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 Peach State Dental Implants And Periodontics's NPI number?

The NPI number for Peach State Dental Implants And Periodontics is 1740956572. It was assigned to this organization in the NPPES registry on August 20, 2021. The provider is doing business as Peach State Laser Periodontics & Implants.

Where is Peach State Dental Implants And Periodontics located?

Peach State Dental Implants And Periodontics is located at 4300 Westbrook Rd # F, Suwanee, GA 30024. The listed phone number is (770) 310-7822.

What is Peach State Dental Implants And Periodontics'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 Peach State Dental Implants And Periodontics was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.