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 |
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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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