Organization · Type 2 NPI
South Georgia Periodontics, PC
Periodontics · Valdosta, GA
NPI number
1194981910
Active
Practice location
307 Georgetown Cir
Valdosta, GA 31602-4113
Fax (229) 242-4395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: 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.
About NPI 1194981910
South Georgia Periodontics, PC's National Provider Identifier is 1194981910, issued on Jul 31, 2008. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Valdosta, GA. The record was last updated on Jul 31, 2008.