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Organization

HAZEL GREEN DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUKE JACKSON POWELL DMD (DENTIST)
(256) 829-8878
Entity
Organization

Contact information

Practice address
14244 HIGHWAY 231/431 N, HAZEL GREEN, AL 35750
(256) 829-8878
Mailing address
1111 BLUEFIELD AVE SE, HUNTSVILLE, AL 35801-2512
(256) 829-8878

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5822
AL

Other

Enumeration date
04/10/2014
Last updated
04/10/2014
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