Individual provider · Type 1 NPI

Gregg R. Codelli, DDS

Periodontics · Atlanta, GA

NPI number 1821141870 Active

Practice location

1707A Mount Vernon Rd
Atlanta, GA 30338-4207

Call (770) 668-0604 Map

Fax (770) 234-4065

Mailing address

3941 Glenncrest Ct NE
Atlanta, GA 30319-1893

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X10306 (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 1821141870

Gregg R. Codelli, DDS's National Provider Identifier is 1821141870, issued on Jan 20, 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.