Epps Village Family Dentistry,llc
Clinic/Center, Dental in Athens, GA. Organization (NPI-2).
NPI number1669628533
StatusActive
Last updated in NPPESAug 12, 2008
Details
- NPI
- 1669628533
- Entity type
- Organization (NPI-2)
- Legal business name
- Epps Village Family Dentistry,llc
- Organization subpart
- No
- Enumeration date
- Aug 12, 2008
- Last updated
- Aug 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 8795 | GA | Yes |
Practice location
1720 Epps Bridge Pkwy Ste 110Athens, GA 30606-6131
Phone 706-227-0773 · Fax 706-227-1642
Mailing address
1720 Epps Bridge Pkwy Ste 110Athens, GA 30606-6131
Phone 706-227-0773 · Fax 706-227-1642
Authorized official
James Herschel Powell
Owner
7062270773
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