Search › Georgia › 1223P0300X
Brent Depta, D.M.D
NPI 1649370339 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2711 Windemere Dr
Valdosta, GA 31602 - Phone
- (229) 247-0437
- Fax
- (229) 242-4395
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-09
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