Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT DEPTA, D.M.D.
Active Sole ProprietorBRENT DEPTA, D.M.D. is a Periodontology healthcare provider located in VALDOSTA, Georgia. NPI 1649370339 is currently active in the NPPES registry. Verify at CMS.
Periodontology · VALDOSTA, GA
Registration Details
- NPI Number
- 1649370339
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2006 (19.913869502006 yrs)
- Last Updated
- Apr 9, 2020
- License
-
012319 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2711 WINDEMERE DRVALDOSTA, GA, 316021696Browse GA providers · Browse ZIP 31602
- Phone
- 2292470437
- Fax
- 2292424395
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in VALDOSTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. RANDALL LAMAR SMITH | D.D.S | 1316192388 |
| DR. EUGENE IRVIN ROWELL III | DMD | 1790347185 |
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.