person
Dr. Henry Leon Diversi JR., DMDMSD
Periodontist in Atlanta, Georgia
NPI 1386798718

Henry Leon Diversi JR. is a Periodontist based in Atlanta, GA and is specialized in Periodontics. Henry Leon Diversi JR. practices in Atlanta, GA and has the professional credentials of DMDMSD. The NPI Number for Henry Leon Diversi JR. is 1386798718 and holds a License No. 6518 (Georgia).

The current practice location address for Henry Leon Diversi JR. is 1895 Phoenix Blvd, Atlanta, GA and can be reached out via phone at 770-996-2900 and via fax at 770-996-0403.

Location: 1895 Phoenix Blvd, Atlanta, GA, 30349
person
Provider Profile Details
NPI Number
1386798718
Provider Name
Henry Leon Diversi JR.
Credential
DMDMSD
Provider Entity Type
Individual
Gender
Male
Address
1895 Phoenix Blvd, Atlanta, GA, 30349
Phone Number
770-996-2900
Fax Number
770-996-0403
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1895 Phoenix Blvd
City
State
Zip
30349
Phone Number
770-996-2900
Fax Number
770-996-0403
person
Provider Business Mailing Address Details
Address
1895 Phoenix Blvd
City
State
Zip
30349
Phone Number
770-996-2900
Fax Number
770-996-0403
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
6518 (Georgia)
Definition
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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