Organization
JEFF A. POWELL, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF A POWELL D.D.S. (PRESIDENT)
(501) 834-4800
Entity
Organization
Contact information
Practice address
7522 HIGHWAY 107, SHERWOOD, AR 72120-4645
(501) 834-4800
(501) 833-1414
Mailing address
7522 HIGHWAY 107, SHERWOOD, AR 72120-4645
(501) 834-4800
(501) 833-1414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3268
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134195608
—
AR
01
—
5T971
BLUE CROSS BLUE SHEILD
AR
01
—
975116
UNITED CONCORDIA
PA
Enumeration date
10/05/2006
Last updated
07/03/2012
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