Individual
DR. GREGORY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
614 E MAIN ST, STANFORD, KY 40484-1403
(606) 365-8994
Mailing address
614 E MAIN ST, STANFORD, KY 40484-1403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9166
KY
Other
Enumeration date
05/24/2012
Last updated
02/02/2015
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