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Individual
DR. RICHARD L. POWELL
Active
Individual
DR. RICHARD L. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
19656
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
19656
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0882077
—
OH
01
—
43-00090
UNITED HEALTH CARE
OH
01
—
68035
UNITED CONCORDIA
OH
Enumeration date
03/21/2006
Last updated
08/10/2015
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