Search › Georgia › 1223P0300X
Jennifer Diversi, DMD
NPI 1568683654 · on the registry since 2007
Practice
- Address
- 125 Eagles Pointe Parkway
Ste 110
Stockbridge, GA 30281 - Phone
- (770) 507-6100
- Fax
- (770) 507-5988
- Organisation at this address
- Henry County Pediatrics, Llc
William F. Schroeder D.D.S.,P.C.
Dentistry For Children Of Stockbridge, Llc
Dentistry For Children Of Stockbridge Ii, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- 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