Powell and Martello P.c.

NPI #1518191295 in Frankfort, Illinois

Provider Information

NPI Number: 1518191295
Entity Type: Organization
Organization Name: Powell and Martello P.c.
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: May 8, 2009
Last Updated: May 8, 2009

Practice Location

Address: 10241 W LINCOLN HWY
City: Frankfort
State: Illinois
ZIP Code: 60423-1279
Phone: (815) 464-6500

Authorized Official

Name: DR. CHRISTOPHER THOMAS POWELL, DDS
Title: PRESIDENT
Phone: (815) 464-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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