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Search › Idaho › 1223G0001X

Russell Powell, DDS

NPI 1154773869 · on the registry since 2016

Practice

Address
329 E Logan St
Caldwell, ID 83605
Phone
(208) 459-3388
Fax
(208) 453-9295
Organisation at this address
Ideal Dental
Fairview Dental Pllc
Kss Dental Group Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho