NPI 1174373633 · live from the CMS NPI Registry
Brian F. Bragassa DMD, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Peachtree City, GA. National Provider Identifier 1174373633, active.
NPI record
| NPI | 1174373633 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 300 Prime PT Ste 200, Peachtree City, GA 30269 |
| Practice phone | 770-487-5505 |
| Mailing address | 101 Gates Entry, Peachtree City, GA 30269 |
| Enumerated | March 26, 2024 |
| Last updated | October 6, 2026 |
| Authorized official | Brian Bragassa, Owner, Doctor |
| Other names | Bragassa Orthodontics |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.