Individual
DR. STEPHEN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
2501 CASON ST, LAFAYETTE, IN 47904-2806
(765) 447-7505
Mailing address
9221 GRINNELL ST, INDIANAPOLIS, IN 46268-1233
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12011511A
IN
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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