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

Dr. Jennifer Irene Diversi, DMD

Individual provider Periodontics · NPI 1568683654

Dr. Jennifer Irene Diversi, DMD is a Periodontics in Stockbridge, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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

125 Eagles Pointe Pkwy Ste 110
Stockbridge, GA 30281
Phone: (770) 507-6100
Fax: (770) 507-5988
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 010539 (GA)

Record details

NPI number1568683654
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESJuly 8, 2007

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