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NPI Code Detail

MEDICARE: DR. DONALD JOHN POWERS DDS

MEDICARE: DR. DONALD JOHN POWERS DDS
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
11223G0001XGeneral Practice Dentistry11341MI

General Provider Information

NPI Number : 1770597890
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD JOHN POWERS DDS
Provider Business Mailing Address
First Line : 2555 SPRING ARBOR RD
Second Line :
City : JACKSON
State : MI
Zip : 49203-3601
Country : US
Telephone Number : 517-787-8321
Fax Number : 517-787-2330
Provider Business Practice Location Address
First Line : 2555 SPRING ARBOR RD
Second Line :
City : JACKSON
State : MI
Zip : 49203-3601
Country : US
Telephone Number : 517-787-8321
Fax Number : 517-787-2330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 07/08/2007

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