Periodontal Associates Pc is a Periodontology Clinic in Atlanta, Georgia. It is located at 1895 Phoenix Blvd, Ste 138, Atlanta, GA and its contact number is 770-996-2900. The authorized person for Periodontal Associates Pc is Dr. Henry Leon Diversi Jr.
who is President of the clinic and their contact number is 770-996-2900. The primary license number for Periodontal Associates Pc is 6518 (Periodontics) in Georgia.
Periodontal Associates Pc Clinic is specialized in that branch 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.
Complete Clinic Profile:
Periodontal Associates Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Periodontal Associates Pc |
| Specialization: | Periodontology |
| Clinic Address: | 1895 Phoenix Blvd, Ste 138, Atlanta,
Georgia, 30349 |
| Phone: | 770-996-2900 |
| Fax: | 770-996-0403 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Henry Leon Diversi Jr. |
| Position: | President |
| Contact Number: | 770-996-2900 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Periodontal Associates Pc clinic are as mentioned below.
| NPI Number: | 1184845273 |
| NPI Enumeration Date: | 02 May, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Periodontal Associates Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Periodontics | 6518 | Georgia | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Periodontal Associates Pc
1895 Phoenix Blvd, Ste 138
Atlanta, Georgia |
| Zip: | 30349 |
| Phone Number: | 770-996-2900 |
| Fax Number: | 770-996-0403 |
Patients can reach Periodontal Associates Pc at
1895 Phoenix Blvd, Ste 138, Atlanta, Georgia or can
call to book an appointment on 770-996-2900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.