DR. JOHN LOUIS POURNELLE JR. D.M.D.
NPI 1184738429
Dentist - General Practice in Soperton, GA

Active since August 17, 2006
607 3RD ST N, SOPERTON, GA 30457(912) 529-6171 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Louis Pournelle Jr. D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN LOUIS POURNELLE JR. D.M.D. (NPI 1184738429) is an individual general practice provider in Soperton, Georgia, licensed in Georgia (DN009368) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1184738429
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN LOUIS POURNELLE JR.Credential: D.M.D.
Location Address607 3RD ST NSoperton, GA 30457-1160
Mailing Address607 3rd St NSoperton, GA 30457-1160 · (912) 529-6171
Sole ProprietorYes
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1184738429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN009368
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.
607 3RD ST N, Soperton, GA 30457

Other Identifiers 1

Medicaid00221064AGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Pournelle's NPI number?

The NPI number for John Pournelle is 1184738429. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is John Pournelle located?

John Pournelle practices at 607 3rd St N, Soperton, GA 30457. The listed phone number is (912) 529-6171.

What is John Pournelle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for John Pournelle was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.