Individual
DR. JASON WILLIAM POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7250 PARKWAY DR, SUITE 400, HANOVER, MD 21076-1388
(410) 567-5520
(410) 712-4762
Mailing address
7250 PARKWAY DR, SUITE 400, HANOVER, MD 21076-1388
(410) 567-5520
(410) 712-4762
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401410627
VA
122300000X
Dentist
Primary
14739
MD
122300000X
Dentist
3611
WV
Other
Enumeration date
02/08/2007
Last updated
01/20/2010
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