Provider Demographics
NPI:1922335462
Name:CHRISTINA L. POWERS, DDS, PLLC
Entity Type:Organization
Organization Name:CHRISTINA L. POWERS, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:910-692-5329
Mailing Address - Street 1:10564 US HWY 15-501
Mailing Address - Street 2:SUITE E
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-5167
Mailing Address - Country:US
Mailing Address - Phone:910-692-5329
Mailing Address - Fax:910-695-8673
Practice Address - Street 1:10564 US HWY 15-501
Practice Address - Street 2:SUITE E
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-5167
Practice Address - Country:US
Practice Address - Phone:910-692-5329
Practice Address - Fax:910-695-8673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC82641223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty