Provider Demographics
NPI:1225321995
Name:POWELL, CHRISTOPHER TAYLOR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:TAYLOR
Last Name:POWELL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 FALLS OF NEUSE RD STE C
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6866
Mailing Address - Country:US
Mailing Address - Phone:919-809-8898
Mailing Address - Fax:919-809-8902
Practice Address - Street 1:6301 FALLS OF NEUSE RD STE C
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6866
Practice Address - Country:US
Practice Address - Phone:919-809-8898
Practice Address - Fax:919-809-8902
Is Sole Proprietor?:No
Enumeration Date:2011-05-27
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9132122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist