| Charles A. Powell, Dds, Ms, Pc | |
|
3340 Providence Dr Ste 560 Anchorage AK 99508-4616 | |
| (907) 278-0807 | |
| (907) 561-8385 |
| Full Name | Charles A. Powell, Dds, Ms, Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3340 Providence Dr, Anchorage, Alaska |
| Authorized Official Name and Position | Charles Powell (PRESIDENT) |
| Authorized Official Contact | 9072780807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles A. Powell, Dds, Ms, Pc 3340 Providence Dr Ste 560 Anchorage AK 99508-4616 Ph: (907) 278-0807 | Charles A. Powell, Dds, Ms, Pc 3340 Providence Dr Ste 560 Anchorage AK 99508-4616 Ph: (907) 278-0807 |
| NPI Number | 1750596425 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750596425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 1071 (Alaska) | Primary |
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