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 |
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Provider Enumeration Date | 2006-08-22 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1720 Epps Bridge Pkwy |
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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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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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