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Dr. John Louis Pournelle JR., DMD
General Practice Dentistry in Soperton, Georgia
NPI 1184738429

John Louis Pournelle JR. is a General Practice Dentistry based in Soperton, GA and is specialized in General Practice. John Louis Pournelle JR. practices in Soperton, GA and has the professional credentials of DMD. The NPI Number for John Louis Pournelle JR. is 1184738429 and holds a License No. DN009368 (Georgia).

The current practice location address for John Louis Pournelle JR. is 607 3Rd St N, Soperton, GA and can be reached out via phone at 912-529-6171.

Location: 607 3Rd St N, Soperton, GA, 30457-1160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184738429
Provider Name
John Louis Pournelle JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
607 3Rd St N, Soperton, GA, 30457-1160
Phone Number
912-529-6171
Fax Number
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00221064A 05 GA
institution
Provider Business Practice Location Address Details
Address
607 3Rd St N
City
Soperton
State
Georgia
Zip
30457-1160
Phone Number
912-529-6171
Fax Number
person
Provider Business Mailing Address Details
Address
607 3Rd St N
City
Soperton
State
Georgia
Zip
30457-1160
Phone Number
912-529-6171
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN009368 (Georgia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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