Individual
PHILLIP PRYSE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
603 RIVERVIEW DR, BELMONT, WV 26134-9718
(304) 665-7813
Mailing address
603 RIVERVIEW DR, BELMONT, WV 26134-9718
(304) 665-7813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3161
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133913000
—
WV
Enumeration date
09/27/2006
Last updated
07/08/2007
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