Periodontal Associates Pc

LBN: Periodontal Associates Pc
Periodontal Associates Pc is an health care organization with primary practice located at 1895 Phoenix Blvd Ste 138, Atlanta GA 30349. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Periodontal Associates Pc can be contacted via phone (770) 996-2900, or through Diversi, Henry Leon via phone (770) 996-2900.

Contact Information

Primary practice address
1895 Phoenix Blvd Ste 138 Atlanta GA 30349
Phone: (770) 996-2900
Fax: (770) 996-0403
Website:
Map and Directions
Authorized official contact:
Name: Diversi, Henry Leon DMD MSD
Phone: (770) 996-2900

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 6518 Georgia

Profile Details

NPI number 1184845273
LBN Legal business name Periodontal Associates Pc
DBA Doing business as
Authorized official Diversi, Henry Leon DMD MSD
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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