Individual
JOSEPH CHANCE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
373 BOONE HEIGHTS DR, BOONE, NC 28607-4934
(828) 264-0110
Mailing address
373 BOONE HEIGHTS DR, BOONE, NC 28607-4934
(828) 291-6103
(229) 241-1900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1086
FL
1223P0221X
Pediatric Dentistry
Primary
09693
NC
1223P0221X
Pediatric Dentistry
DN014976
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09693
DENTAL LICENSE
NC
01
—
DN014976
DENTAL LICENSE
GA
Enumeration date
07/02/2012
Last updated
03/19/2019
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