Organization
DRS. KUNKLE AND POWELL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE SPROUSE POWELL DMD (CO-OWNER/GENERAL DENTIST)
(843) 761-8065
Entity
Organization
Contact information
Practice address
119 LIBRARY ST, MONCKS CORNER, SC 29461-3751
(843) 761-8065
(843) 761-5085
Mailing address
119 LIBRARY ST, MONCKS CORNER, SC 29461-3751
(843) 761-8065
(843) 761-5085
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1641 SC
SC
1223G0001X
General Practice Dentistry
Primary
3119 SC
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9778
—
SC
Enumeration date
04/23/2007
Last updated
09/19/2023
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