Powell Dental Practice, Plc
NPI #1255471157 in Winchester, Virginia
Provider Information
- NPI Number
- 1255471157
- Entity Type
- Organization
- Organization Name
- Powell Dental Practice, Plc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Jan 20, 2010
Practice Location
- Address
- 3034 VALLEY AVE
- Address 2
- SUITE 104
- City
- Winchester
- State
- Virginia
- ZIP Code
- 22601-2670
- Phone
- (410) 695-5695
Authorized Official
- Name
- DR. JASON WILLIAM POWELL, D.D.S.
- Title
- OWNER
- Phone
- (410) 695-5695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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