Sally C Powell DDS LLC

NPI #1215140033 in Columbia, Missouri

Provider Information

NPI Number: 1215140033
Entity Type: Organization
Organization Name: Sally C Powell DDS LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1627 TOWNE DR
City: Columbia
State: Missouri
ZIP Code: 65202-2339
Phone: (573) 474-8566

Authorized Official

Name: DR. SALLY C POWELL, DDS
Title: PRESIDENT
Phone: (573) 474-8566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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