Dr. Jerald Norman Powell, DDS
Dentist, General Practice in Greeley, CO. Individual provider (NPI-1).
NPI number1154486751
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154486751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jerald Norman Powell
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3218 | CO | Yes |
Practice location
3400 16th St8e
Greeley, CO 80634
Phone 970-351-6506 · Fax 970-351-8788
Mailing address
3400 16th St8e
Greeley, CO 80634
Phone 970-351-6506 · Fax 970-351-8788
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