Provider Demographics
NPI:1316359862
Name:POWERS, ALLISON KAY (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:KAY
Last Name:POWERS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5703 WHISTLING WIND LN
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2048
Mailing Address - Country:US
Mailing Address - Phone:513-218-8133
Mailing Address - Fax:513-831-8155
Practice Address - Street 1:1188 STATE ROUTE 131
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2711
Practice Address - Country:US
Practice Address - Phone:513-218-8133
Practice Address - Fax:513-831-8155
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1223G0001X122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist