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PALMETTO FAMILY DENTAL PC NPI 1841580560


NPI Information

NPI: 1841580560
Provider Name: PALMETTO FAMILY DENTAL, PC

Former Legal Business Name: JORDAN A. BRUNSON, DDS, OC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
501 PARK ST
PALMETTO, GA
ZIP 30268
Phone: (770) 463-4541
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PALMETTO FAMILY DENTAL, PC is a general practice dentist in Palmetto, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PALMETTO FAMILY DENTAL, PC NPI is 1841580560. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Jordan A. Brunson, Dds, Oc.

The provider's business location address is:

501 PARK ST
PALMETTO, GA
ZIP 30268-007
Phone: (770) 463-4541
Fax: (770) 463-9184

The provider's authorized official is Jordan Albert Brunson .
The authorized official title is President and has the following contact phone number (770) 463-4541.

The enumeration date for this NPI number is 4/14/2011 and was last updated on 8/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN013693GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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