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FRED T. POWERS JR. DMD INC NPI 1497139703


NPI Information

NPI: 1497139703
Provider Name: FRED T. POWERS JR., DMD, INC

Doing Business As: POWERS DENTISTRY

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
27701 SCOTT RD
D-107
MENIFEE, CA
ZIP 92584
Phone: (951) 301-6100
Get Directions

FRED T. POWERS JR., DMD, INC is a preferred provider organization in Menifee, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. FRED T. POWERS JR., DMD, INC NPI is 1497139703. The provider is registered as an organization entity type.
The provider Is Doing Business As Powers Dentistry.

The provider's business location address is:

27701 SCOTT RD
D-107
MENIFEE, CA
ZIP 92584-417
Phone: (951) 301-6100

The provider's authorized official is Dawn R Powers .
The authorized official title is Owner/office Manager and has the following contact phone number (951) 301-6100.

The enumeration date for this NPI number is 7/16/2015 and was last updated on 7/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization33356CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11013058551OTHERCALIFORNIADEACTIVATED NPI DUE TO DEATH OF HEALTH CARE PROVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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