Epps Village Family Dentistry,Llc in Athens - Dental
Epps Village Family Dentistry,Llc - NPI 1669628533
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 1669628533. The last update date is 2008-08-12.
Epps Village Family Dentistry,Llc's current location address is 1720 Epps Bridge Pkwy Ste 110, 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 Ste 110, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Epps Village Family Dentistry,Llc |
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Address | 1720 Epps Bridge Pkwy Ste 110, Athens, Georgia |
Phone Number | 7062270773 |
Fax Number | 7062271642 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Powell Herschel James |
Credentials | DMD |
Telephone Number | 7062270773 |
NPI Number Detail
NPI Number | 1669628533 |
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Provider Enumeration Date | 2008-08-12 |
Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
Address | 1720 Epps Bridge Pkwy Ste 110 |
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City | Athens |
State | Georgia (GA) |
Post Code | 306066131 |
Phone Number | 7062270773 |
Fax Number | 7062271642 |
Provider's Primary Taxonomy Detail
Speciality | Dental |
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Taxonomy | 261Qd0000X |
Licence No | 8795 |
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique identifier code issued to Epps Village Family Dentistry,Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Epps Village Family Dentistry,Llc has been assigned the NPI (National Provider Identifier) 1669628533. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Epps Village Family Dentistry,Llc?
The Epps Village Family Dentistry,Llc is physically situated at 1720 Epps Bridge Pkwy Ste 110, in the city of Athens, state of GA, with the postal code 306066131.
What is the area of specialization for Epps Village Family Dentistry,Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Epps Village Family Dentistry,Llc is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669628533 to Epps Village Family Dentistry,Llc?
The Centers for Medicare & Medicaid Services originally issued the 1669628533 to Epps Village Family Dentistry,Llc on 2008-08-12.
As of what date was the information regarding Epps Village Family Dentistry,Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Epps Village Family Dentistry,Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-12.