BRENT DAVID POWELL DMD INC NPI 1013312289

NPI Information

BRENT DAVID POWELL DMD INC is a pediatric dentistry dentist in Fresno, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BRENT DAVID POWELL DMD INC NPI is 1013312289. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Powell Pediatric Dentistry.

The provider's business location address is:

7005 N CHESTNUT AVE
SUITE 101
FRESNO, CA
ZIP 93720-348
Phone: (559) 299-3949
Fax: (559) 299-7880

The provider's authorized official is Brent David Powell .
The authorized official title is Owner and has the following contact phone number (558) 299-3949.

The enumeration date for this NPI number is 10/29/2014 and was last updated on 10/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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