Organization · Type 2 NPI

Periodontal Center of Georgia, PC

Periodontics · Conyers, GA

NPI number 1639930118 Active

Practice location

1920 GA-20, Suite B
Conyers, GA 30013-2048

Fax (770) 929-4387

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone 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.

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About NPI 1639930118

Periodontal Center of Georgia, PC's National Provider Identifier is 1639930118, issued on Jan 22, 2024. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Conyers, GA. The record was last updated on Oct 31, 2024.