Provider Demographics
NPI:1497764013
Name:CARLOS H POWERS DDS PC
Entity Type:Organization
Organization Name:CARLOS H POWERS DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:H
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-675-4544
Mailing Address - Street 1:1334 G STREET SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3021
Mailing Address - Country:US
Mailing Address - Phone:202-675-4544
Mailing Address - Fax:202-543-2169
Practice Address - Street 1:1334 G STREET SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3021
Practice Address - Country:US
Practice Address - Phone:202-675-4544
Practice Address - Fax:202-543-2169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC0469122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty