Phillip Wayne Bracken, DDS

General Practice Dentistry · Mableton, GA

Individual Active NPI

NPI number 1477651198

Practice location

5345 Floyd Rd SW
Suite M
Mableton, GA 30126-2270
Phone
(770) 944-8620
Fax
(770) 948-8882

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NPI record

NPI
1477651198
Entity type
Individual (Type 1)
Enumeration date
September 20, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN008476 GA

About Dr. Bracken

Phillip Wayne Bracken, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5345 Floyd Rd SW, Suite M, Mableton, GA 30126-2270. The NPI number 1477651198 was assigned on September 20, 2006 and the record was last updated on July 8, 2007.

Dr. Bracken lists a license in the registry: #DN008476 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Phillip Wayne Bracken, DDS?

The NPI number is 1477651198.

What is the phone number of Dr. Bracken?

The phone number listed for the practice location is (770) 944-8620.

Where is Dr. Bracken located?

5345 Floyd Rd SW, Suite M, Mableton, GA 30126-2270.

What is the taxonomy code for Dr. Bracken?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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