Grant Aloysius Powderly, DDS

General Practice Dentistry · Union, MO

Individual Active NPI

NPI number 1700627973

Practice location

1780 Old Highway 50 E
Union, MO 63084-3219
Phone
(844) 853-8937

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NPI record

NPI
1700627973
Entity type
Individual (Type 1)
Enumeration date
June 3, 2024
Last updated
June 3, 2024
Certified
June 3, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2024019734 MO

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone
(844) 853-8937

About Dr. Powderly

Grant Aloysius Powderly, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1780 Old Highway 50 E, Union, MO 63084-3219. The NPI number 1700627973 was assigned on June 3, 2024 and the record was last updated on June 3, 2024.

Dr. Powderly lists a license in the registry: #2024019734 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Grant Aloysius Powderly, DDS?

The NPI number is 1700627973.

What is the phone number of Dr. Powderly?

The phone number listed for the practice location is (844) 853-8937.

Where is Dr. Powderly located?

1780 Old Highway 50 E, Union, MO 63084-3219.

What is the taxonomy code for Dr. Powderly?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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