Organization
PALMETTO FAMILY DENTAL, PC
Active
Other names
Jordan A. Brunson, DDS, OC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN ALBERT BRUNSON DDS (PRESIDENT)
(770) 463-4541
Entity
Organization
Contact information
Practice address
501 PARK ST, PALMETTO, GA 30268-1007
(770) 463-4541
(770) 463-9184
Mailing address
501 PARK ST, PALMETTO, GA 30268-1007
(770) 463-4541
(770) 463-9184
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013693
GA
Other
Enumeration date
04/14/2011
Last updated
08/30/2023
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