Powell, Jimmie

Powell, Jimmie is an individual health care provider with primary practice located at 5435 Jefferson Rd Ste 400 , Athens GA 30607-1732. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Powell, Jimmie can be contacted via phone (706) 247-8800.

Contact Information

Primary practice address
5435 Jefferson Rd Ste 400 Athens GA 30607-1732
Phone: (706) 247-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11414 North Carolina
Dental Providers / General Practice 1223G0001X DN122990 Georgia

Profile Details

NPI number 1093374795
LBN Legal business name Powell, Jimmie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2019
Last updated Apr 17th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093374795 NPPES
North Carolina Other 11414 LICENSE

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