Organization
NICOLE POWELL, DDS, PLLC
Active
Other names
Hometown Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SPARKS (OFFICE MANAGER)
(501) 268-2000
Entity
Organization
Contact information
Practice address
3206 LANGLEY DR, SEARCY, AR 72143-6020
(501) 268-2000
(501) 268-2442
Mailing address
3206 LANGLEY DR, SEARCY, AR 72143-6020
(501) 268-2000
(501) 268-2442
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221305608
—
AR
05
—
267608631
—
AR
Enumeration date
05/12/2021
Last updated
07/15/2021
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