Healthcare Provider Details

I. General information

NPI: 1144154378
Provider Name (Legal Business Name): WILLIAM DAVIS POWELL DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 FOOTE ST
CORINTH MS
38834-4911
US

IV. Provider business mailing address

1025 FOOTE ST
CORINTH MS
38834-4911
US

V. Phone/Fax

Practice location:
  • Phone: 662-287-3156
  • Fax:
Mailing address:
  • Phone: 662-287-3156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number112771
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: