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NPI Code Detail

MEDICARE: JOSEPH CHANCE POWELL DDS

MEDICARE:   JOSEPH CHANCE POWELL  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist1086FL
21223P0221XPediatric DentistryDN014976GA
31223P0221XPediatric Dentistry09693NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DN014976OTHERGADENTAL LICENSE
209693OTHERNCDENTAL LICENSE

General Provider Information

NPI Number : 1497019640
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH CHANCE POWELL DDS
Provider Business Mailing Address
First Line : 373 BOONE HEIGHTS DR
Second Line :
City : BOONE
State : NC
Zip : 28607-4934
Country : US
Telephone Number : 828-291-6103
Fax Number : 229-241-1900
Provider Business Practice Location Address
First Line : 373 BOONE HEIGHTS DR
Second Line :
City : BOONE
State : NC
Zip : 28607-4934
Country : US
Telephone Number : 828-264-0110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2012
Last Update Date : 03/19/2019

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Directions to “ JOSEPH CHANCE POWELL DDS” Practice Location

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