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Contact Information

FRED T. POWERS JR., DMD, INC
27701 SCOTT RD
D-107
MENIFEE, CA92584-9417
 Phone: 951-301-6100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for FRED T. POWERS JR., DMD, INC

NPI Number 1497139703
LBN Legal business name FRED T. POWERS JR., DMD, INC
Authorized official DAWN POWERS - (OWNER/OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2015
Last updated 07/16/2015 - About 11 years ago
Identifiers
CA License # 33356
CA Other 1013058551 DEACTIVATED NPI DUE TO DEATH OF HEALTH CARE PROVIDER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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