Healthcare Provider Details

I. General information

NPI: 1750218442
Provider Name (Legal Business Name): POWELL DENTAL GROUP-ALYSSA MUGHAL DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 CLAIREDAN DR
POWELL OH
43065-8064
US

IV. Provider business mailing address

39 CLAIREDAN DR
POWELL OH
43065-8064
US

V. Phone/Fax

Practice location:
  • Phone: 614-436-4433
  • Fax: 614-436-6055
Mailing address:
  • Phone: 614-436-4433
  • Fax: 614-436-6055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ALYSSA M MUGHAL
Title or Position: OWNER, DENTIST
Credential: DDS
Phone: 614-436-4433