Henry Diversi, DMD MSD

NPI 1386798718 · on the registry since 2007

Practice

Address: 1895 Phoenix Blvd
Suite 138
Atlanta, GA 30349
Phone: (770) 996-2900
Fax: (770) 996-0403
Organisation at this address: Periodontal Associates Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Periodontics
1223P0300X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia