IndividualActive
Brian Bracken, DMD
NPI 1063764025 · Orthodontics and Dentofacial Orthopedics Dentistry · Sumter, SC
Provider details
- NPI number
- 1063764025
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DGD8524 (SC)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1121 Broad St
Sumter, SC 29150-1902
Phone: (201) 919-1950
Approximate (ZIP-level) locationGet directions
Mailing address
31 Frogmore Rd
Mt Pleasant, SC 29464-6651
Registry dates
- Enumerated
- 2012-10-15
- Last updated
- 2024-02-02
- Certified
- 2024-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.