Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Palmetto Family Dental of Fayette County, PC

Organization Dentist · NPI 1629851472

Palmetto Family Dental of Fayette County, PC is a Dentist 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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