Organization · Type 2 NPI
JL Pournelle JR DMD PC
Dental Clinic/Center · Soperton, GA
NPI number
1730083239
Active
Practice location
5580 N Third St
Soperton, GA 30457-2007
Fax (912) 529-6500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1730083239
JL Pournelle JR DMD PC's National Provider Identifier is 1730083239, issued on Oct 7, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Soperton, GA. The record was last updated on Oct 7, 2026.