EPPS VILLAGE FAMILY DENTISTRY LLC (NPI# 1275649279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275649279 |
Entity Type | Organization |
Organization Name | EPPS VILLAGE FAMILY DENTISTRY LLC |
Practice Address |
1720 Epps Bridge Pkwy Suite 110 Athens GA 30606-6132 |
Practice Telephone | 7062270773 |
Practice Fax Number | 7062271642 |
Mailing Telephone | 7062270773 |
Mailing Fax Number | 7062271642 |
Enumeration Date | 2006-08-22 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JAMES HERSCHEL POWELL III (OWNER/DENTIST) |
Authorized Official Telephone | 7062270773 |
Authorized Official Credential | D.M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN008795 | GA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | STATE DENTAL LICENSE # | DN008795 | 01 |
Street Address |
1720 EPPS BRIDGE PKWY SUITE 110 |
City | ATHENS |
State | GA |
Zip Code | 30606-6132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730113549 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1720 Epps Bridge Pkwy, Athens, GA 30606-6132 | 2006-07-10 |
1043845449 | Kevin Donald Hammond | Pharmacist | 1720 Epps Bridge Pkwy, Athens, GA 30606-6132 | 2020-03-05 |
1659901924 | Karen Mccall | Pharmacist | 1720 Epps Bridge Pkwy, Athens, GA 30606-6132 | 2020-01-24 |
1295141208 | Allison Ann Presnell | Pharmacist | 1720 Epps Bridge Pkwy, Athens, GA 30606-6132 | 2014-07-10 |
1285064568 | James Herschel Powell | Dentist | 1720 Epps Bridge Pkwy, Suite 110, Athens, GA 30606-6132 | 2013-11-22 |
1972736478 | Radha S Vanmali | Pharmacist | 1720 Epps Bridge Pkwy, Athens, GA 30606-6132 | 2009-08-31 |
1891932448 | City Wide Anesthesia Associates,llc | Nurse Anesthetist, Certified Registered | 1720 Epps Bridge Pkwy, Suite 108-382, Athens, GA 30606-6132 | 2009-01-18 |
1619150745 | Classic City Anesthesia Associates | Nurse Anesthetist, Certified Registered | 1720 Epps Bridge Pkwy, Suite 108-382, Athens, GA 30606-6132 | 2007-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
Find all providers in zip 30606 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
1407346505 | Barry D. Simmons, Dds, PC | Clinic/Center | 847 S Milledge Ave, Athens, GA 30605-1331 | 2018-05-14 |
1235642893 | Secd Athens | Clinic/Center | 22051 Hwy 72 East, F, Athens, AL 35613-3561 | 2017-11-06 |
1982079042 | Alabama Mobile Dental Care, P.C. | Clinic/Center | 22041 Us Highway 72, Suite C, Athens, AL 35613-2614 | 2015-12-01 |
1083850150 | Mitchell Bridge Dental II | Clinic/Center | 1171 Mitchell Bridge Rd Ste A, Athens, GA 30606-6475 | 2008-12-19 |
1669628533 | Epps Village Family Dentistry,llc | Clinic/Center | 1720 Epps Bridge Pkwy Ste 110, Athens, GA 30606-6131 | 2008-08-12 |
1487812103 | Mcrae Family Dental PC | Clinic/Center | 995 Baxter Street, Athens, GA 30606 | 2008-05-29 |
1760904569 | Advanced Athens Dentistry, PC | Clinic/Center | 1155 Cedar Shoals Dr, Athens, GA 30605-3592 | 2017-07-13 |
1962660795 | Glenn C. Alex, D.m.d. | Clinic/Center | 140 Trinity Pl, Building A, Athens, GA 30607-2100 | 2008-05-29 |
Find all providers in ATHENS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.