PALMETTO FAMILY DENTAL, PC
NPI 1841580560
Dentist - General Practice in Palmetto, GA

Active since April 14, 2011
501 PARK ST, PALMETTO, GA 30268(770) 463-4541(770) 463-9184 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 30, 2023, Jul 20, 2022 (2 updates tracked since 2022).

About Palmetto Family Dental, Pc NPPES

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

PALMETTO FAMILY DENTAL, PC (NPI 1841580560), doing business as Jordan A. Brunson, Dds, Oc, is a healthcare organization registered as a general practice in Palmetto, Georgia and active in the NPI registry since April 2011. The organization lists Jordan Albert Brunson, President, as its authorized official.

NPPES Registry Identity

NPI1841580560
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePALMETTO FAMILY DENTAL, PC
Location Address501 PARK STPalmetto, GA 30268-1007
Mailing Address501 Park StPalmetto, GA 30268-1007 · (770) 463-4541 · Fax (770) 463-9184
Fax(770) 463-9184
Organization SubpartNo
Authorized OfficialJordan Albert BrunsonPresident · (770) 463-4541
Enumeration DateApril 14, 2011
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1841580560 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 · DN013693
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.
501 PARK ST, Palmetto, GA 30268

Other Names 1

Former Legal Business NameJordan A. Brunson, Dds, Oc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
501 PARK ST
PALMETTO, GA 30268
Dentist (General Practice)
501 PARK ST
PALMETTO, GA 30268
Dentist
501 PARK ST
PALMETTO, GA 30268
Dentist (General Practice)
501 PARK ST
PALMETTO, GA 30268
Clinic/Center (Health Service)
501 PARK ST
PALMETTO, GA 30268

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 Palmetto Family Dental, PC's NPI number?

The NPI number for Palmetto Family Dental, PC is 1841580560. It was assigned to this organization in the NPPES registry on April 14, 2011. The provider was formerly known as Jordan A. Brunson, Dds, Oc.

Where is Palmetto Family Dental, PC located?

Palmetto Family Dental, PC is located at 501 Park St, Palmetto, GA 30268. The listed phone number is (770) 463-4541.

What is Palmetto Family Dental, PC'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 Palmetto Family Dental, PC was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.