MEDICARE: CARLOS H POWERS DDS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	0469	DC

General Provider Information

NPI Number	:	1497764013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARLOS H POWERS DDS PC

Provider Business Mailing Address
First Line	:	1334 G STREET SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-3021
Country	:	US
Telephone Number	:	202-675-4544
Fax Number	:	202-543-2169

Provider Business Practice Location Address
First Line	:	1334 G STREET SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-3021
Country	:	US
Telephone Number	:	202-675-4544
Fax Number	:	202-543-2169

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. CARLOS H POWERS
Credential	:	DDS
Telephone Number	:	202-675-4544

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	08/22/2020

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