Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Periodontal Center of Georgia, PC

Organization Periodontics · NPI 1639930118

Periodontal Center of Georgia, PC is a Periodontics in Conyers, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1920 GA-20 Ste B
Conyers, GA 30013-2048
Phone: (770) 767-0603
Fax: (770) 929-4387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1639930118
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brittany Bennett — Office Manager · (770) 922-8733
Other names Periodontal Center Of Georgia; Periodontal Center Of Georgia
NPI enumeratedJanuary 22, 2024
Last updated in NPPESOctober 31, 2024
Certification dateOctober 28, 2024
Mailing address1920 Ga-20, Suite B, Conyers, GA 30013-2048

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