Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILLIP WAYNE BRACKEN, DDS
Active Sole ProprietorDR. PHILLIP WAYNE BRACKEN, DDS is a General Dentistry healthcare provider located in MABLETON, Georgia. NPI 1477651198 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MABLETON, GA
Registration Details
- NPI Number
- 1477651198
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.911877523568 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DN008476 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5345 FLOYD RD SWSUITE MMABLETON, GA, 301262270Browse GA providers · Browse ZIP 30126
- Phone
- 7709448620
- Fax
- 7709488882
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in MABLETON, GA
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES L STEINHAUS | DDS | 1528160504 |
| ISABELL SIMPSON | D.M.D. | 1295830750 |
| LAWRENCE COHEN | — | 1881790301 |
| ROBERT BERLIN | — | 1669573473 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.