Individual
DR. LUKE JACKSON POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5720 1ST AVE S, BIRMINGHAM, AL 35212-2522
(205) 380-9455
(205) 380-9459
Mailing address
14244 HIGHWAY 231 431 N, HAZEL GREEN, AL 35750-9402
(256) 829-8878
(256) 867-2122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5822C1
AL
Other
Enumeration date
06/14/2011
Last updated
02/19/2016
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