| Rodney L. Powers, Dds, Inc. | |
|
3 Rosemar Circle, Suite A Box 4369 Parkersburg WV 26104-4369 | |
| (304) 428-2058 | |
| Not Available |
| Full Name | Rodney L. Powers, Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3 Rosemar Circle, Suite A, Parkersburg, West Virginia |
| Authorized Official Name and Position | Rodney Lee Powers (OWNER) |
| Authorized Official Contact | 3044282058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodney L. Powers, Dds, Inc. 3 Rosemar Circle, Suite A Po Box 4369 Parkersburg WV 26104-4369 Ph: (304) 428-2058 | Rodney L. Powers, Dds, Inc. 3 Rosemar Circle, Suite A Box 4369 Parkersburg WV 26104-4369 Ph: (304) 428-2058 |
| NPI Number | 1770517005 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770517005 | NPI | - | NPPES |
| 89316447 | Other | WV | TPIN CCR FED. GOV. |
| WV 2952 | Other | WV | LICEN. |
| 1245237320 | Other | WV | TYPE I NPI |
| 0133093-000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2952 (West Virginia) | Primary |
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