| Powell Dental Practice, Plc | |
|
3034 Valley Ave Suite 104 Winchester VA 22601-2670 | |
| (410) 695-5695 | |
| Not Available |
| Full Name | Powell Dental Practice, Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3034 Valley Ave, Winchester, Virginia |
| Authorized Official Name and Position | Jason William Powell (OWNER) |
| Authorized Official Contact | 4106955695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powell Dental Practice, Plc 2020 Bealmear Mill Ln Apt 6201 Odenton MD 21113-2996 Ph: (410) 695-5695 | Powell Dental Practice, Plc 3034 Valley Ave Suite 104 Winchester VA 22601-2670 Ph: (410) 695-5695 |
| NPI Number | 1255471157 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 01/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255471157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401410627 (Virginia) | Primary |
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