| Gregory J Powell Dmd Pc | |
|
12255 Depaul Drive Ste 885 Bridgeton MO 63044 | |
| (314) 298-0727 | |
| Not Available |
| Full Name | Gregory J Powell Dmd Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 12255 Depaul Drive, Bridgeton, Missouri |
| Authorized Official Name and Position | Gregory J Powell (PRESIDENT) |
| Authorized Official Contact | 3142980727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory J Powell Dmd Pc 12255 Depaul Drive Ste 885 Bridgeton MO 63044 Ph: () - | Gregory J Powell Dmd Pc 12255 Depaul Drive Ste 885 Bridgeton MO 63044 Ph: (314) 298-0727 |
| NPI Number | 1700193869 |
|---|---|
| Provider Enumeration Date | 09/09/2010 |
| Last Update Date | 09/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700193869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 12148 (Missouri) | Primary |
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