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Dr. Jennifer Irene Diversi, DMD
Periodontist in Stockbridge, Georgia
NPI 1568683654

Jennifer Irene Diversi is a Periodontist based in Stockbridge, GA and is specialized in Periodontics. Jennifer Irene Diversi practices in Stockbridge, GA and has the professional credentials of DMD. The NPI Number for Jennifer Irene Diversi is 1568683654 and holds a License No. 010539 (Georgia).

The current practice location address for Jennifer Irene Diversi is 125 Eagles Pointe Parkway, Stockbridge, GA and can be reached out via phone at 770-507-6100 and via fax at 770-507-5988.

Location: 125 Eagles Pointe Parkway, Stockbridge, GA, 30281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568683654
Provider Name
Jennifer Irene Diversi
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
125 Eagles Pointe Parkway, Stockbridge, GA, 30281
Phone Number
770-507-6100
Fax Number
770-507-5988
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
125 Eagles Pointe Parkway
City
Stockbridge
State
Georgia
Zip
30281
Phone Number
770-507-6100
Fax Number
770-507-5988
person
Provider Business Mailing Address Details
Address
125 Eagles Pointe Parkway
City
Stockbridge
State
Georgia
Zip
30281
Phone Number
770-507-6100
Fax Number
770-507-5988
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
010539 (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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