JL Pournelle Jr DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JL POURNELLE JR DMD PC

Practice address

5580 N Third St
Soperton, GA 30457-2007

Phone

(912) 529-6171

Fax

(912) 529-6500

NPI assigned

Oct 7, 2026

Last updated

Oct 7, 2026By 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. John Louis Pournelle Jr., DMDNPI 1184738429

Title

President

Phone

(912) 529-6172

Specialties & licenses 1

Addresses

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.

• John Louis Pournelle Jr., D.M.D.

  • General Practice Dentistry
  • Soperton, GA
  • NPI 1184738429
  Authorized official Same address or phone

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1730083239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 N THIRD ST",
            "city": "SOPERTON",
            "state": "GA",
            "postal_code": "304572007",
            "telephone_number": "912-529-6171",
            "fax_number": "912-529-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 N THIRD ST",
            "city": "SOPERTON",
            "state": "GA",
            "postal_code": "304572007",
            "telephone_number": "912-529-6171",
            "fax_number": "912-529-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JL POURNELLE JR DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "POURNELLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-529-6172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bobby Jermaine Figueroa, LPC
• Kristen Nicole Helton, FNP-BC
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• Kathryn Lassiter, PHARMD
• Seth Love, PA-C
• Laura K Lynd, MS, LMFT
• Wendy Jean Mason, LPC
• Kaya Iman Matthews

• Dental Clinic/Center in Soperton, GA
• Providers in Soperton, 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 Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.