person
Dr. Gregg R Codelli, DDS
Periodontist in Atlanta, Georgia
NPI 1821141870

Gregg R Codelli is a Periodontist based in Atlanta, GA and is specialized in Periodontics. Gregg R Codelli practices in Atlanta, GA and has the professional credentials of DDS. The NPI Number for Gregg R Codelli is 1821141870 and holds a License No. 10306 (Georgia).

The current practice location address for Gregg R Codelli is 1707A Mount Vernon Rd, Atlanta, GA and can be reached out via phone at 770-668-0604 and via fax at 770-234-4065. You can also correspond with Gregg R Codelli through the mailing address at 3941 GLENNCREST CT NE, ATLANTA, GA - 30319-1893 (mailing address contact number: 770-668-0604).

Location: 1707A Mount Vernon Rd, Atlanta, GA, 30319-1893
person
Provider Profile Details
NPI Number
1821141870
Provider Name
Gregg R Codelli
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1707A Mount Vernon Rd, Atlanta, GA, 30319-1893
Phone Number
770-668-0604
Fax Number
770-234-4065
Provider Enumeration Date
01/20/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1707A Mount Vernon Rd
City
State
Zip
30338-4207
Phone Number
770-668-0604
Fax Number
770-234-4065
person
Provider Business Mailing Address Details
Address
1707A Mount Vernon Rd
City
State
Zip
30338-4207
Phone Number
770-668-0604
Fax Number
770-234-4065
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
10306 (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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