Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER IRENE DIVERSI, DMD
ActiveDR. JENNIFER IRENE DIVERSI, DMD is a Periodontology healthcare provider located in STOCKBRIDGE, Georgia. NPI 1568683654 is currently active in the NPPES registry. Verify at CMS.
Periodontology · STOCKBRIDGE, GA
Registration Details
- NPI Number
- 1568683654
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2007 (19.308498010989 yrs)
- Last Updated
- Jul 8, 2007
- License
-
010539 (GA)
Practice Information
- Address
-
125 EAGLES POINTE PARKWAYSTE 110STOCKBRIDGE, GA, 30281Browse GA providers · Browse ZIP 30281
- Phone
- 7705076100
- Fax
- 7705075988
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in STOCKBRIDGE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. MINDY SUNGMIN GIL | DMD, DMSC | 1336434786 |
| WANGSOO LEE | — | 1215558929 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.