DR. Avery C. Powell, D.D.S.

NPI #1639383060 in Flossmoor, Illinois

Provider Information

NPI Number: 1639383060
Entity Type: Individual
Name: DR. Avery C. Powell, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: May 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1719 HEATHER HILL CRES
City: Flossmoor
State: Illinois
ZIP Code: 60422-2041
Phone: (170) 822-8047

Specialties & Taxonomy Codes

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

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