Individual
JOHN HENRY BRACKETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
25771 CANAL RD, ORANGE BEACH, AL 36561
(251) 981-2273
(251) 981-2132
Mailing address
25771 CANAL RD, ORANGE BEACH, AL 36561
(251) 981-2273
(251) 981-2132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AGD70002
AL
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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