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 practises 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 Not confirmed with CMS for 19 years — call before visiting
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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