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Contact Information

TERRY POWERS, DMD
402 S. LEWIS LANE
CARBONDALE, IL62901
 Phone: 618-519-9901
 Fax: 618-519-9375
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TERRY POWERS · (Male)

NPI Number 1023344702
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 10/30/2009
Last updated 08/02/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019028149
  • IL Medicaid 019028149
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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