Epps Village Family Dentistry Llc in Athens - Dental

Epps Village Family Dentistry Llc - NPI 1275649279

Epps Village Family Dentistry Llc is a Dental in Athens, Georgia. Epps Village Family Dentistry Llc practices all healthcare services and medical treatments related to Dental. The NPI Number for Epps Village Family Dentistry Llc is 1275649279. The last update date is 2020-08-22.

Epps Village Family Dentistry Llc's current location address is 1720 Epps Bridge Pkwy, Athens, Georgia. You can contact this provider via phone number 7062270773 and fax number 7062271642. The mailing address for Epps Village Family Dentistry Llc is 1720 Epps Bridge Pkwy, Athens, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Epps Village Family Dentistry Llc
Address 1720 Epps Bridge Pkwy, Athens, Georgia
Phone Number 7062270773
Fax Number 7062271642
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/DENT
Authorized Official Name Powell Herschel James
Credentials D.M.D.
Telephone Number 7062270773

NPI Number Detail

NPI Number 1275649279
Provider Enumeration Date 2006-08-22
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1720 Epps Bridge Pkwy
City Athens
State Georgia (GA)
Post Code 306066132
Phone Number 7062270773
Fax Number 7062271642

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No DN008795
Definition:
Provides general and specialized dental care and oral surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DN008795 GA STATE DENTAL LICENSE #

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FAQs about Epps Village Family Dentistry Llc

What is the Epps Village Family Dentistry Llc's unique identification number?

The Epps Village Family Dentistry Llc has been assigned the NPI (National Provider Identifier) Number 1275649279 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Epps Village Family Dentistry Llc's physical address?

The Epps Village Family Dentistry Llc is physically located at 1720 Epps Bridge Pkwy, in the city of Athens, GA, with the postal code 306066132.

What is Epps Village Family Dentistry Llc's area of expertise and its corresponding taxonomy classification?

The Epps Village Family Dentistry Llc's field of specialization is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Epps Village Family Dentistry Llc receive the assignment of its 1275649279 from the Centers for Medicare & Medicaid Services?

The Epps Village Family Dentistry Llc was issued its 1275649279 by the Centers for Medicare & Medicaid Services on 2006-08-22.

When was the information regarding Epps Village Family Dentistry Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Epps Village Family Dentistry Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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