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PEACHTREE PERIODONTICS & DENTAL IMPLANTS NPI 1841343316


NPI Information

NPI: 1841343316
Provider Name: PEACHTREE PERIODONTICS & DENTAL IMPLANTS
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
306 STEVENS ENTRY
PEACHTREE CITY, GA
ZIP 30269
Phone: (770) 487-7734
Get Directions

PEACHTREE PERIODONTICS & DENTAL IMPLANTS is a periodontics dentist in Peachtree City, GA. The provider is 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. PEACHTREE PERIODONTICS & DENTAL IMPLANTS NPI is 1841343316. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

306 STEVENS ENTRY
PEACHTREE CITY, GA
ZIP 30269-325
Phone: (770) 487-7734
Fax: (770) 487-1783

The provider's authorized official is David Robert Davenport .
The authorized official title is Doctor and has the following contact phone number (770) 487-7734.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 10/2/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics009974GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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