K S Powell Dds Pc in Saint Louis - General Practice

K S Powell Dds Pc - NPI 1316016835

K S Powell Dds Pc is a General Practice in Saint Louis, Missouri. K S Powell Dds Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for K S Powell Dds Pc is 1316016835. The last update date is 2020-08-22.

K S Powell Dds Pc's current location address is 3403 Union Blvd, Saint Louis, Missouri. You can contact this provider via phone number 3143811556 and fax number 3143814559. The mailing address for K S Powell Dds Pc is 3403 Union Blvd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization K S Powell Dds Pc
Address 3403 Union Blvd, Saint Louis, Missouri
Phone Number 3143811556
Fax Number 3143814559
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Powell Senior Kenneth
Credentials DDS
Telephone Number 3143811556

NPI Number Detail

NPI Number 1316016835
Provider Enumeration Date 2006-11-07
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3403 Union Blvd
City Saint Louis
State Missouri (MO)
Post Code 631151127
Phone Number 3143811556
Fax Number 3143814559

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 11987
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11987 MO DENTAL LICENSE

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FAQs about K S Powell Dds Pc

What is the unique identifier code issued to K S Powell Dds Pc by the Centers for Medicare & Medicaid Services (CMS)?

The K S Powell Dds Pc has been assigned the NPI (National Provider Identifier) 1316016835. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of K S Powell Dds Pc?

The K S Powell Dds Pc is physically situated at 3403 Union Blvd, in the city of Saint Louis, state of MO, with the postal code 631151127.

What is the K S Powell Dds Pc's specialty and taxonomy code?

The K S Powell Dds Pc's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did K S Powell Dds Pc receive its 1316016835 assignment from the Centers for Medicare & Medicaid Services?

The K S Powell Dds Pc was assigned its 1316016835 on 2006-11-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding K S Powell Dds Pc most recently updated?

The details pertaining to the K S Powell Dds Pc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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