NPI 1861702300 · live from the CMS NPI Registry
Brian Frederick Bragassa, D.M.D
Dentist, Orthodontics and Dentofacial Orthopedics in Peachtree City, GA. National Provider Identifier 1861702300, active.
NPI record
| NPI | 1861702300 Type 1 · individual |
|---|---|
| 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 | October 18, 2010 |
| Last updated | October 6, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN014082 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.