Individual provider · Type 1 NPI

Henry Leon Diversi Jr., DMD MSD

Periodontics · Atlanta, GA

NPI number 1386798718 Active

Practice location

1895 Phoenix Blvd, Suite 138
Atlanta, GA 30349

Call (770) 996-2900 Map

Fax (770) 996-0403

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X6518 (GA)

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.

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About NPI 1386798718

Henry Leon Diversi Jr., DMD MSD's National Provider Identifier is 1386798718, issued on Jan 23, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.