Powelson, Douglas Kent
Powelson, Douglas Kent is an individual health care provider with primary practice located at 7651 Ashley Park Ct Suite #406, Orlando FL 32835-6114. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Powelson, Douglas Kent can be contacted via phone (407) 294-3300.Contact Information
Primary practice address
7651 Ashley Park Ct Suite #406
Orlando FL 32835-6114
Phone: (407) 294-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN0011672 | Florida |
Profile Details
| NPI number | 1952427395 |
|---|---|
| LBN Legal business name | Powelson, Douglas Kent |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Mar 25th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952427395 | NPPES |
| Florida | MEDICAID | 074705000 |
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