Individual
CREIGHTON DESHAWN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
143 TRAFALGAR ST SW, AIKEN, SC 29801-3760
(803) 641-1000
Mailing address
205 RIVER PLACE DR UNIT 511, AUGUSTA, GA 30909-0062
(501) 940-5502
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10335
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168292631
—
AR
05
—
ZX0335
—
SC
Enumeration date
06/08/2017
Last updated
09/22/2025
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