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

Peach State Dental Implants and Periodontics

Organization Periodontics · NPI 1740956572

Peach State Dental Implants and Periodontics provides Periodontics in Suwanee, Georgia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4300 Westbrook Rd # F
Suwanee, GA 30024-4987
Phone: (770) 310-7822
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1740956572
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malissa Gianfala — Hr/Operations Manager · (770) 500-8446
Other names Peach State Laser Periodontics & Implants
NPI enumeratedAugust 20, 2021
Last updated in NPPESAugust 20, 2021
Certification dateAugust 20, 2021
Mailing address4300 Westbrook Rd # F, Suwanee, GA 30024-4987

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