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

South Georgia Periodontics, PC

Organization Periodontics · NPI 1194981910

South Georgia Periodontics, PC is a Periodontics in Valdosta, Georgia. Registered with an NPI since 2008.

In the registry since
2008
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

307 Georgetown Cir
Valdosta, GA 31602-4113
Phone: (229) 247-0437
Fax: (229) 242-4395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1194981910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Depta — Owner · (229) 247-0437
NPI enumeratedJuly 31, 2008
Last updated in NPPESJuly 31, 2008
Mailing address307 Georgetown Cir, Valdosta, GA 31602-4113

Other providers in Valdosta