Individual
DR. CASSANDRA GRIFFITH BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
3300 MEMORIAL DR, SUITE D-3, DECATUR, GA 30032-2700
(404) 289-3060
(404) 288-6080
Mailing address
3300 MEMORIAL DR, SUITE D-3, DECATUR, GA 30032-2700
(404) 289-3060
(404) 288-6080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0010117
GA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
010117
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000310318C
—
GA
Enumeration date
02/22/2007
Last updated
03/11/2022
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