What is GREGORY J POWELL DMD PC's NPI number?

The NPI number assigned to this healthcare provider is 1700193869, enumerated as a organization on September 9, 2010.

Where is the provider located?

The provider is located at 12255 DEPAUL DRIVE STE 885 BRIDGETON, MO 63044 and the phone number is (314) 298-0727.

What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223E0200X and a focus in Endodontics.

GREGORY J POWELL DMD PC - NPI 1700193869 - Dentist in Bridgeton, MO

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About Gregory J Powell Dmd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY J POWELL DMD PC (NPI 1700193869) is a healthcare organization registered as an endodontics in Bridgeton, Missouri and active in the NPI registry since September 2010. The organization lists Gregory J Powell, President, as its authorized official.

NPPES Registry Identity

NPI1700193869

Entity TypeOrganization

Primary Taxonomy1223E0200X

Legal Business NameGREGORY J POWELL DMD PC

Location Address12255 DEPAUL DRIVE, STE 885Bridgeton, MO 63044

Mailing Address12255 Depaul Drive, Ste 885Bridgeton, MO 63044

Phone(314) 298-0727

Organization SubpartNo

Authorized OfficialGregory J PowellPresident · (314) 298-0727

Enumeration DateSeptember 9, 2010

✔ NPI 1700193869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in MO · 12148

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

12255 DEPAUL DRIVE, Bridgeton, MO 63044

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP