Diversi, Henry Leon

Diversi, Henry Leon is an individual health care provider with primary practice located at 1895 Phoenix Blvd Suite 138, Atlanta GA 30349. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Diversi, Henry Leon can be contacted via phone (770) 996-2900.

Contact Information

Primary practice address
1895 Phoenix Blvd Suite 138 Atlanta GA 30349
Fax: (770) 996-0403
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 6518 Georgia

Profile Details

NPI number 1386798718
LBN Legal business name Diversi, Henry Leon
Credentials DMD MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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