Sally C Powell Dds Llc | |
1627 Towne Dr Columbia MO 65202-2339 | |
(573) 474-8566 | |
Not Available |
Full Name | Sally C Powell Dds Llc |
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Speciality | Dentist - General Practice |
Location | 1627 Towne Dr, Columbia, Missouri |
Authorized Official Name and Position | Sally C Powell (PRESIDENT) |
Authorized Official Contact | 5734748566 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sally C Powell Dds Llc 1627 Towne Dr Columbia MO 65202-2339 Ph: (573) 474-8566 | Sally C Powell Dds Llc 1627 Towne Dr Columbia MO 65202-2339 Ph: (573) 474-8566 |
NPI Number | 1215140033 |
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Provider Enumeration Date | 05/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215140033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2001012816 (Missouri) | Primary |
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