Creighton Deshawn Powell is a Jonesboro, Arkansas based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Creighton Deshawn Powell is 4169 for General Practice Dentistry in Arkansas. His current practice location is 1699 Stadium Blvd Suite I, Jonesboro. Patients can reach him at 870-336-0543.
Creighton Deshawn Powell is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Creighton Deshawn Powell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Creighton Deshawn Powell
Specialization:
Dentist
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
1699 Stadium Blvd Suite I, Jonesboro, Arkansas, 72401
Phone:
870-336-0543
Fax:
870-336-0061
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1689103038
NPI Enumeration Date:
08 Jun, 2017
NPI Last Update On:
21 Jul, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Creighton Deshawn Powell are as mentioned below.
License Number
Specialization
State
Status
4169
General Practice Dentistry
Arkansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Creighton Deshawn Powell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
168292631
Medicaid
Arkansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1699 Red Wolf Blvd Ste I, Jonesboro, Arkansas
Zip:
72401-5453
Phone Number:
870-336-0543
Fax Number:
870-336-0061
Patients can reach Creighton Deshawn Powell at 1699 Stadium Blvd Suite I, Jonesboro, Arkansas or can call to book an appointment on 870-336-0543. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.