Cassandra Griffith Brackett in Decatur - General Practice

Cassandra Griffith Brackett - NPI 1033244124

Cassandra Griffith Brackett is a General Practice in Decatur, Georgia. Cassandra Griffith Brackett practices all healthcare services and medical treatments related to General Practice. The NPI Number for Cassandra Griffith Brackett is 1033244124. The last update date is 2022-03-11.

Cassandra Griffith Brackett's current location address is 3300 Memorial Dr, Decatur, Georgia. You can contact this provider via phone number 4042893060 and fax number 4042886080. The mailing address for Cassandra Griffith Brackett is 3300 Memorial Dr, Decatur, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Cassandra Griffith Brackett
Address 3300 Memorial Dr, Decatur, Georgia
Phone Number 4042893060
Fax Number 4042886080
Sole Proprietor Y
Credentials D.D.S

NPI Number Detail

NPI Number 1033244124
Provider Enumeration Date 2007-02-22
Last Updated Date 2022-03-11

Provider Mailing Address Detail

Address 3300 Memorial Dr
City Decatur
State Georgia (GA)
Post Code 300322700
Phone Number 4042893060
Fax Number 4042886080

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 10117
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000310318C GA --

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FAQs about Cassandra Griffith Brackett

What is the unique identifier code issued to Cassandra Griffith Brackett by the Centers for Medicare & Medicaid Services (CMS)?

The Cassandra Griffith Brackett has been assigned the NPI (National Provider Identifier) 1033244124. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Cassandra Griffith Brackett located?

The Cassandra Griffith Brackett is located at 3300 Memorial Dr, Decatur, GA 300322700.

What is the Cassandra Griffith Brackett's area of specialization and corresponding taxonomy classification?

The Cassandra Griffith Brackett's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the Cassandra Griffith Brackett receive the assignment of its 1033244124 from the Centers for Medicare & Medicaid Services?

The Cassandra Griffith Brackett was issued its 1033244124 by the Centers for Medicare & Medicaid Services on 2007-02-22.

As of what date were the details related to Cassandra Griffith Brackett most recently updated or revised?

The information pertaining to Cassandra Griffith Brackett, including its address, specialty, and other relevant details, was last updated or revised on 2022-03-11.

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