Organization
EPPS VILLAGE FAMILY DENTISTRY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HERSCHEL POWELL DMD (OWNER)
(706) 227-0773
Entity
Organization
Contact information
Practice address
1720 EPPS BRIDGE PKWY STE 110, ATHENS, GA 30606-6131
(706) 227-0773
(706) 227-1642
Mailing address
1720 EPPS BRIDGE PKWY STE 110, ATHENS, GA 30606-6131
(706) 227-0773
(706) 227-1642
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8795
GA
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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