Powell, Jeff A

Powell, Jeff A is an sole proprietor health care provider with primary practice located at 7522 Highway 107 , Sherwood AR 72120-4645. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Powell, Jeff A can be contacted via phone (501) 834-4800.

Contact Information

Primary practice address
7522 Highway 107 Sherwood AR 72120-4645
Fax: (501) 833-1414
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3268 Arkansas

Profile Details

NPI number 1447276944
LBN Legal business name Powell, Jeff A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447276944 NPPES
Arkansas Other 975116 UNITED CONCORDIA
Arkansas Other 5T971 UNITED CONCORDIA

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