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

Periodontal Specialists of Vinings

Organization Periodontics · NPI 1205231271

Periodontal Specialists of Vinings is a Periodontics in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014

Practice location Address checks out

100 Galleria Pkwy SE Ste 250
Atlanta, GA 30339-3179
Phone: (678) 236-0500
Fax: (678) 236-0586
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X (GA)

Record details

NPI number1205231271
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Husam Bezreh — Owner · (678) 677-9288
NPI enumeratedNovember 3, 2014
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023
Mailing address100 Galleria Pkwy Se, Suite 250, Atlanta, GA 30339-3179

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