DR. PHILLIP WAYNE BRACKEN DDS
NPI 1477651198
Dentist - General Practice in Mableton, GA

Q: What is Phillip Bracken's NPI number?

The NPI number for Phillip Bracken is 1477651198. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Phillip Bracken's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Bracken was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2006

5345 FLOYD RD SW, SUITE M, MABLETON, GA 30126(770) 944-8620(770) 948-8882 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Phillip Wayne Bracken Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILLIP WAYNE BRACKEN DDS (NPI 1477651198) is an individual general practice provider in Mableton, Georgia, licensed in Georgia (DN008476) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1477651198

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PHILLIP WAYNE BRACKENCredential: DDS

Location Address5345 FLOYD RD SW, SUITE MMableton, GA 30126-2270

Mailing Address5345 Floyd Rd Sw, Suite MMableton, GA 30126-2270 · (770) 944-8620 · Fax (770) 948-8882

Phone(770) 944-8620

Fax(770) 948-8882

Sole ProprietorYes

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1477651198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN008476

Definition

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.

5345 FLOYD RD SW, Mableton, GA 30126

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Bracken's NPI number?

The NPI number for Phillip Bracken is 1477651198. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Phillip Bracken located?

Phillip Bracken practices at 5345 Floyd Rd SW Suite M, Mableton, GA 30126. The listed phone number is (770) 944-8620.

What is Phillip Bracken's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Phillip Bracken was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.