Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Palmetto Family Dental of Fayette County, PC

Organization Dentist · NPI 1629851472

Palmetto Family Dental of Fayette County, PC provides Dentist services in Fayetteville, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210 Trilith Pkwy Ste 130
Fayetteville, GA 30214-4615
Phone: (706) 580-9670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1629851472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Brunson — President/Owner · (706) 580-9670
NPI enumeratedAugust 16, 2023
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023
Mailing address210 Trilith Pkwy Ste 130, Fayetteville, GA 30214-4615

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