Organization
J CHANCE POWELL DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAITLIN MELISSA HAYNES (FINANCIAL COORDINATOR)
(828) 264-0110
Entity
Organization
Contact information
Practice address
373 BOONE HEIGHTS DR, BOONE, NC 28607-4934
(828) 264-0110
(828) 264-5453
Mailing address
373 BOONE HEIGHTS DR, BOONE, NC 28607-4934
(828) 264-0110
(828) 264-5453
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09693
DENTAL LICENSE
NC
Enumeration date
03/19/2019
Last updated
03/19/2019
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