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

Dr. Jordan Albert Brunson, DDS

Individual provider General Practice Dentistry · NPI 1861631053

Dr. Jordan Albert Brunson, DDS is a Dentist in Palmetto, Georgia. Qualified in 2006, 20 years ago. Licensed in Georgia.

Years since qualifying
20
Licensed in
GA
In the registry since
2009
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

501 Park St
Palmetto, GA 30268-1007
Phone: (770) 463-4541
Fax: (770) 463-9184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN013693 (GA)

Record details

NPI number1861631053
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 11, 2009
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023
Mailing address501 Park St, Palmetto, GA 30268-1007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated

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