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Organization

RODNEY L. POWERS, DDS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RODNEY LEE POWERS DDS (OWNER)
(304) 428-2058
Entity
Organization

Contact information

Practice address
3 ROSEMAR CIRCLE, SUITE A, BOX 4369, PARKERSBURG, WV 26104-4369
(304) 428-2058
Mailing address
3 ROSEMAR CIRCLE, SUITE A, PO BOX 4369, PARKERSBURG, WV 26104-4369
(304) 428-2058

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2952
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0133093-000
WV
01
1245237320
TYPE I NPI
WV
01
89316447
TPIN CCR FED. GOV.
WV
01
WV 2952
LICEN.
WV
Enumeration date
07/11/2006
Last updated
03/06/2008
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