Organization
CHARLES A. POWELL, DDS, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES POWELL DDS, MS (PRESIDENT)
(907) 278-0807
Entity
Organization
Contact information
Practice address
3340 PROVIDENCE DR, STE 560, ANCHORAGE, AK 99508-4616
(907) 278-0807
(907) 561-8385
Mailing address
3340 PROVIDENCE DR, STE 560, ANCHORAGE, AK 99508-4616
(907) 278-0807
(907) 561-8385
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1071
AK
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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