Austin Chase Powell, D.M.D.

Individual provider Active NPI Pediatric Dentistry · Homewood, AL

NPI 1649436189 · NPPES record last updated Sep 14, 2012

Key facts

NPI
1649436189
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Dentistry 1223P0221X
License
5627 (AL)
Practice address
1626 29TH CT S
Homewood, AL 35209-2442
Phone
(205) 538-3335
NPI assigned
Aug 4, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Austin C. Powell, D.M.D., LLC Pediatric Dentistry Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 5627 AL Yes

Addresses

Primary practice location

1626 29TH CT S
Homewood, AL 35209-2442

Mailing address

1626 29TH CT S
Homewood, AL 35209-2442
Phone (205) 538-3335

Other providers in Homewood, AL

All providers in Homewood, AL · Pediatric Dentistry in Alabama

Sources for this page

Verify at the official NPI Registry.