| Sally C Powell Dds Llc | |
|
1627 Towne Dr Columbia MO 65202-2339 | |
| (573) 474-8566 | |
| Not Available |
| Full Name | Sally C Powell Dds Llc |
|---|---|
| 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 |
|---|---|
| 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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