Individual
DR. PERRY T SOWELL JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 QUEENS RD, CHARLOTTE, NC 28207-1860
(704) 332-2532
Mailing address
1000 QUEENS RD, CHARLOTTE, NC 28207-1860
(704) 332-2532
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5058
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810585
BC/BS PROVIDER NUMBER
AL
01
—
98001
BC/BS PROVIDER NUMBER
NC
Enumeration date
05/17/2006
Last updated
07/08/2007
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