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General NPI Number Information
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NPI Number | 1194791251
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Entity Type | Organization
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Legal Business Name | YOWELL DENTAL GROUP P.A.
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 1540 NORTH MAIN
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City | MCPHERSON
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State | KS
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Zip | 67460
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Country | US
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Telephone | 620-241-0842
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Fax | 620-241-0887
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Provider Business Mailing Address
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Address Line | 1540 NORTH MAIN
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City | MCPHERSON
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State | KS
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Zip | 67460
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Country | US
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Telephone | 620-241-0842
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Fax | 620-241-0887
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL V. YOWELL
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Credential | DDS
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Telephone | 620-241-0842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6435
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License Number State | KS
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