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

Brent Depta, DMD

Individual provider Periodontics · NPI 1649370339

Brent Depta, DMD is a Periodontics in Valdosta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2711 Windemere Dr
Valdosta, GA 31602-1696
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 · Licence 012319 (GA)

Record details

NPI number1649370339
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 23, 2006
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020
Mailing address2711 Windemere Dr, Valdosta, GA 31602-1696

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