Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Henry Leon Diversi Jr., DMDMSD

Individual provider Periodontics · NPI 1386798718

Dr. Henry Leon Diversi Jr., DMDMSD is a Periodontics in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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Practice location Address checks out

1895 Phoenix Blvd Ste 138
Atlanta, GA 30349
Phone: (770) 996-2900
Fax: (770) 996-0403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 6518 (GA)

Record details

NPI number1386798718
Entity typeIndividual (Type 1)
GenderMale
Credentials DMDMSD
Sole proprietorNo
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJuly 8, 2007

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