Individual
DR. JAMES BLEAK POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
USA DENTAC 21ST STREET, BLDG 2441, FORT CAMPBELL, KY 42223-5369
(270) 798-8614
(270) 956-0266
Mailing address
USA DENTAC 21ST STREET, BLDG 2441, FORT CAMPBELL, KY 42223-5369
(270) 798-8614
(270) 956-0266
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6586747-9921
UT
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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