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Organization
POWELL DENTAL SLEEP SOLUTIONS LLC
Active
Organization
POWELL DENTAL SLEEP SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA SMITH (OFFICE MANAGER)
(614) 396-9310
Entity
Organization
Contact information
Practice address
39 CLAIREDAN DR, POWELL, OH 43065-8064
(614) 396-9310
(614) 436-6055
Mailing address
39 CLAIREDAN DR, POWELL, OH 43065-8064
(614) 396-9310
(614) 436-6055
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/07/2019
Last updated
12/15/2020
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