Epps Village Family Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN008795 Issued in GA

Legal business name

EPPS VILLAGE FAMILY DENTISTRY LLC

Practice address

1720 Epps Bridge Pkwy
Suite 110
Athens, GA 30606-6132

Phone

(706) 227-0773

Fax

(706) 227-1642

NPI assigned

Aug 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James Herschel Powell III, D.M.D.NPI 1285064568

Title

Owner/Dentist

Phone

(706) 227-0773

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Epps Village Family Dentistry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Epps Village Family Dentistry,LLC

  • Dental Clinic/Center
  • Athens, GA
  • NPI 1669628533
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Herschel Powell, D.M.D

  • General Practice Dentistry
  • Athens, GA
  • NPI 1285064568
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275649279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 EPPS BRIDGE PKWY",
            "address_2": "SUITE 110",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066132",
            "telephone_number": "706-227-0773",
            "fax_number": "706-227-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EPPS BRIDGE PKWY",
            "address_2": "SUITE 110",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066132",
            "telephone_number": "706-227-0773",
            "fax_number": "706-227-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPPS VILLAGE FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HERSCHEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "706-227-0773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN008795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE #",
            "identifier": "DN008795",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Envision Optics LLC (My EyeLab)
• Epps Bridge Pediatrics, LLC
• Epps Village Family Dentistry,LLC
• Eric T. Kinard, O.D., P.C. (Athens Eye Care)
• Eric Wilson MD PC (Sunset Family Practice)
• Erica M Kasler, PSYD, PC
• Erickson Chiropractic Office, P.C.

• Dental Clinic/Center in Athens, GA
• Providers in Athens, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.