Individual provider Active NPI

Joseph Olem Brannen, DDS

  • Dentist
  • Tucker, GA
National Provider Identifier
1437317757
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN008641 Issued in GA
Practice address
4394 Hugh Howell Rd Suite 7
Tucker, GA 30084-4913
Phone
(770) 621-0830
Fax
(770) 621-9893
NPI assigned
May 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN008641 GA Primary

Addresses

Primary practice location

4394 Hugh Howell Rd Suite 7
Tucker, GA 30084-4913

Mailing address

4394 Hugh Howell Rd Suite 7
Tucker, GA 30084-4913
Phone (770) 621-0830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN008641GAMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1437317757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4394 HUGH HOWELL RD SUITE 7",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844913",
            "telephone_number": "770-621-0830",
            "fax_number": "770-621-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4394 HUGH HOWELL RD SUITE 7",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844913",
            "telephone_number": "770-621-0830",
            "fax_number": "770-621-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNEN",
        "first_name": "JOSEPH",
        "middle_name": "OLEM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN008641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.