Dr. John Louis Pournelle Jr. is a Soperton, Georgia based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. John Louis Pournelle Jr. is DN009368 for General Practice Dentistry in Georgia. His current practice location is 607 3rd St N, Soperton. Patients can reach him at 912-529-6171.
Dr. John Louis Pournelle Jr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. John Louis Pournelle Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. John Louis Pournelle Jr.
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
607 3rd St N, Soperton, Georgia, 30457-1160
Phone:
912-529-6171
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1184738429
NPI Enumeration Date:
17 Aug, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John Louis Pournelle Jr. are as mentioned below.
License Number
Specialization
State
Status
DN009368
General Practice Dentistry
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. John Louis Pournelle Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00221064A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
607 3rd St N, Soperton, Georgia
Zip:
30457-1160
Phone Number:
912-529-6171
Patients can reach Dr. John Louis Pournelle Jr. at 607 3rd St N, Soperton, Georgia or can call to book an appointment on 912-529-6171. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.