Organization
POWELL DENTAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A HOMON DDS, MS, PC (PRESIDENT)
(614) 932-9356
Entity
Organization
Contact information
Practice address
10401 SAWMILL PKWY, SUITE 70, POWELL, OH 43065-7451
(614) 210-0120
Mailing address
10401 SAWMILL PKWY, SUITE 70, POWELL, OH 43065-7451
(614) 210-0120
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30.022998
OH
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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