DR. JORDAN ALBERT BRUNSON (NPI# 1861631053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861631053 |
| Entity Type | Individual |
| Full Name | DR. JORDAN ALBERT BRUNSON |
| Credential | D.D.S. |
| Practice Address |
501 Park St Palmetto GA 30268-1007 |
| Practice Telephone | 7704634541 |
| Practice Fax Number | 7704639184 |
| Mailing Telephone | 7704634541 |
| Mailing Fax Number | 7704639184 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2011-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN013693 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943169 | Jordan Brunson | Social Worker | 1627 Waverly Way Apt E, Baltimore, MD 21239-2311 | 2019-10-09 |
| 1528680824 | Jordan Tyler Brunson | Dentist | 4898 Little Rd, Arlington, TX 76017-1054 | 2020-05-11 |
| Street Address |
501 PARK ST |
| City | PALMETTO |
| State | GA |
| Zip Code | 30268-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386710796 | Gary Lane Watts | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2006-11-28 |
| 1841580560 | Palmetto Family Dental, PC | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2011-04-14 |
| 1760507255 | Gary L. Watts Dmd PC | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521491 | Hla Ambulance LLC | Ambulance | 43 Amanda Ln, Palmetto, GA 30268 | 2020-09-03 |
| 1134779424 | Center for Positive Change LLC | Counselor | 11207 Serenbe Lane, Hills, GA 30268 | 2019-09-18 |
| 1336397868 | Key David Mcmurrain Jr. | Preventive Medicine | 10180 Capps Ferry Road, Palmetto, GA 30268 | 2008-09-09 |
| 1548333115 | Carolyn E Johnson | Registered Nurse | 507 Park Street, Palmetto, GA 30268 | 2006-11-15 |
| 1285707455 | Angela P. Shannon | Psychiatry & Neurology | 507 Park St, Palmetto, GA 30268-1007 | 2006-11-16 |
| 1952967234 | Palmetto Health Council, Inc. | Clinic/Center | 507 Park St, Palmetto, GA 30268-1007 | 2019-05-13 |
| 1447791835 | Lyzette Santiago Rodriguez | Counselor | 507 Park St, Palmetto, GA 30268-1007 | 2017-03-17 |
| 1073577342 | Jolyn Langford Garcia | Pharmacist | 405 Carlton Rd, Palmetto, GA 30268-1052 | 2006-04-13 |
| 1114543543 | Atlanta Pharmacy Group, Inc. | Pharmacy | 405 Carlton Rd, Palmetto, GA 30268-1052 | 2020-06-22 |
| 1881150175 | Atlanta Pharmacy Group, Inc. | Pharmacy | 405 Carlton Rd, Palmetto, GA 30268-1052 | 2019-02-12 |
| Find all providers in zip 30268 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700265485 | Noel Keyzer | Dentist | 579 10th St E, Palmetto, FL 34221-4013 | 2015-05-27 |
| 1134381940 | Bradley Thomas Hume | Dentist | 317 7th St. W., Palmetto, FL 34221-5206 | 2008-07-02 |
| 1417169327 | Karl J Thoreson | Dentist | 919 6th St W, Palmetto, FL 34221-4607 | 2007-05-04 |
| 1386710796 | Gary Lane Watts | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2006-11-28 |
| 1164915419 | Andres Alberto | Dentist | 579 10th St E, Palmetto, FL 34221-4013 | 2018-06-12 |
| 1285024265 | Palmetto Dental Center LLC | Dentist | 317 7th St W, Palmetto, FL 34221-5206 | 2015-01-29 |
| 1417374331 | Allcare Health Networks LLC | Dentist | 700 8th Ave W, Suite 101, Palmetto, FL 34221-4737 | 2014-03-28 |
| 1841580560 | Palmetto Family Dental, PC | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2011-04-14 |
| 1215157060 | Frederick Moore | Dentist | 643 Main St, Palmetto, GA 30268-1138 | 2007-04-26 |
| 1760507255 | Gary L. Watts Dmd PC | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2007-03-21 |
| Find all providers in PALMETTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.