Epps Village Family Dentistry Llc

LBN: Epps Village Family Dentistry Llc
Epps Village Family Dentistry Llc is an health care organization with primary practice located at 1720 Epps Bridge Pkwy Suite 110, Athens GA 30606-6132. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Epps Village Family Dentistry Llc can be contacted via phone (706) 227-0773, or through Powell, James Herschel via phone (706) 227-0773.

Contact Information

Primary practice address
1720 Epps Bridge Pkwy Suite 110 Athens GA 30606-6132
Phone: (706) 227-0773
Fax: (706) 227-1642
Website:
Map and Directions
Authorized official contact:
Name: Powell, James Herschel Doctor of Dental Medicine (DMD)
Phone: (706) 227-0773

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X DN008795 Georgia

Profile Details

NPI number 1275649279
LBN Legal business name Epps Village Family Dentistry Llc
DBA Doing business as
Authorized official Powell, James Herschel Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275649279 NPPES
Georgia Other DN008795 STATE DENTAL LICENSE #

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