Sally C Powell DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2001012816 Issued in MO

Legal business name

SALLY C POWELL DDS LLC

Practice address

1627 Towne Dr
Columbia, MO 65202-2339

Phone

(573) 474-8566

NPI assigned

May 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sally C Powell, DDSNPI 1558429738

Title

President

Phone

(573) 474-8566

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sally C Powell, DDS

  • General Practice Dentistry
  • Columbia, MO
  • NPI 1558429738
  NPD (past) Authorized official
• Gunilla Jonsson Murphy, D.D.S.

  • Dentist
  • Columbia, MO
  • NPI 1558427450
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215140033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 TOWNE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652022339",
            "telephone_number": "573-474-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 TOWNE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652022339",
            "telephone_number": "573-474-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY C POWELL DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-474-8566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2001012816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manal Hani Salim, MD
• Erica Hope Salinas, MD
• Denise Yvonne Salisbury, N.P.
• Lea Salisbury
• Shelby Yvonne Salisbury
• Anna Salmo, SLP-CF
• Sam'S Club Optical
• Fatima Samad, MD
• Karen Marie Samani, LCSW
• Traci Dawn Sambolin, NP

• General Practice Dentistry in Columbia, MO
• Providers in Columbia, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.