Individual
DR. R. STEVEN POWELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
625 RONALD REAGAN DR, EVANS, GA 30809-7602
(706) 860-6888
(706) 860-8202
Mailing address
625 RONALD REAGAN DR, EVANS, GA 30809-7602
(706) 860-6888
(706) 860-8202
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
009369
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009369
STATE DENTAL LICENSE
GA
Enumeration date
07/26/2006
Last updated
03/07/2023
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