person
Brent Depta, DMD
Periodontist in Valdosta, Georgia
NPI 1649370339

Brent Depta is a Periodontist based in Valdosta, GA and is specialized in Periodontics. Brent Depta practices in Valdosta, GA and has the professional credentials of DMD. The NPI Number for Brent Depta is 1649370339 and holds a License No. 012319 (Georgia).

The current practice location address for Brent Depta is 2711 Windemere Dr, Valdosta, GA and can be reached out via phone at 229-247-0437 and via fax at 229-242-4395.

Location: 2711 Windemere Dr, Valdosta, GA, 31602-1696
person
Provider Profile Details
NPI Number
1649370339
Provider Name
Brent Depta
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2711 Windemere Dr, Valdosta, GA, 31602-1696
Phone Number
229-247-0437
Fax Number
229-242-4395
Provider Enumeration Date
09/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2711 Windemere Dr
City
State
Zip
31602-1696
Phone Number
229-247-0437
Fax Number
229-242-4395
person
Provider Business Mailing Address Details
Address
2711 Windemere Dr
City
State
Zip
31602-1696
Phone Number
229-247-0437
Fax Number
229-242-4395
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
012319 (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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