Individual
DR. DERIK POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2300 12TH AVE S STE 109, GREAT FALLS, MT 59405-5099
(406) 761-1837
Mailing address
2300 12TH AVE S STE 109, GREAT FALLS, MT 59405-5099
(406) 761-1837
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21466
MT
Other
Enumeration date
11/26/2021
Last updated
02/01/2023
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