Provider Demographics
NPI:1245411750
Name:POWERS, EVA-MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:EVA-MARIE
Middle Name:
Last Name:POWERS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 E NEW RD
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-9085
Mailing Address - Country:US
Mailing Address - Phone:317-462-7700
Mailing Address - Fax:317-462-7706
Practice Address - Street 1:168 E NEW RD
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-9085
Practice Address - Country:US
Practice Address - Phone:317-462-7700
Practice Address - Fax:317-462-7706
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010593A1223G0001X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223P0700XDental ProvidersDentistProsthodontics