| Derik Powell Dds, Pllc | |
|
2300 12th Ave S Ste 109 Great Falls MT 59405-5099 | |
| (406) 781-7217 | |
| Not Available |
| Full Name | Derik Powell Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2300 12th Ave S Ste 109, Great Falls, Montana |
| Authorized Official Name and Position | Derik Powell (OWNER) |
| Authorized Official Contact | 4067817217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derik Powell Dds, Pllc 52 Elk Dr Great Falls MT 59404-6424 Ph: (406) 781-7217 | Derik Powell Dds, Pllc 2300 12th Ave S Ste 109 Great Falls MT 59405-5099 Ph: (406) 781-7217 |
| NPI Number | 1801507538 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 12/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801507538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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