Individual provider · Type 1 NPI
Brent Depta, DMD
Periodontics · Valdosta, GA
NPI number
1649370339
Active
Practice location
2711 Windemere Dr
Valdosta, GA 31602-1696
Fax (229) 242-4395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 012319 (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.
Another provider at this address
Other periodontics providers in Valdosta
About NPI 1649370339
Brent Depta, DMD's National Provider Identifier is 1649370339, issued on Sep 23, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Valdosta, GA. The record was last updated on Apr 9, 2020.