Epps Village Family Dentistry,LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8795 Issued in GA

Legal business name

EPPS VILLAGE FAMILY DENTISTRY,LLC

Practice address

1720 Epps Bridge Pkwy Ste 110
Athens, GA 30606-6131

Phone

(706) 227-0773

Fax

(706) 227-1642

NPI assigned

Aug 12, 2008

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, DMDNPI 1285064568

Title

Owner

Phone

(706) 227-0773

Specialties & licenses 1

Addresses

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 1275649279
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1669628533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 EPPS BRIDGE PKWY STE 110",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066131",
            "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 STE 110",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066131",
            "telephone_number": "706-227-0773",
            "fax_number": "706-227-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPPS VILLAGE FAMILY DENTISTRY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HERSCHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-227-0773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "8795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• ENT of Athens, LLC
• ENT of Athens, LLC
• Envision Optics LLC
• Epps Bridge Pediatrics, LLC
• Epps Village Family Dentistry LLC
• Eric T. Kinard, O.D., P.C.
• Eric Wilson MD PC
• Erica M Kasler, PSYD, PC
• Erickson Chiropractic Office, P.C.
• Amy Erickson, RN

• 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 12, 2008; 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.