NPI age
17 years
Enumerated 2008-07-31
● Active Type 2 · Organization
South Georgia Periodontics, Pc
South Georgia Periodontics, Pc is 1 of 221 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Depta
Owner
Last NPPES update
2008-07-31
Source: monthly bulk 2026-05
How this organization compares
Across 221 active dentist providers in Georgia.
NPI age
17 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-07Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
307 Georgetown Cir
Valdosta, GA 316024113
Mailing address
307 Georgetown Cir
Valdosta, GA 316024113
Authorized official
Brent B. Depta, DMD
Owner
📞 2292470437
Specialties
-
Dentist PrimaryThat specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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