Provider Demographics
NPI:1043285679
Name:POWERS, CARLOS H (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:H
Last Name:POWERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:CARLOS
Other - Middle Name:H
Other - Last Name:POWERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:509 G ST SW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-2723
Mailing Address - Country:US
Mailing Address - Phone:240-788-6433
Mailing Address - Fax:202-554-4550
Practice Address - Street 1:509 G ST SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2723
Practice Address - Country:US
Practice Address - Phone:240-788-6433
Practice Address - Fax:202-554-4550
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2021-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC046901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice