Provider Demographics
NPI:1205527587
Name:POWERS, REBECCA TAYLOR (DMD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:TAYLOR
Last Name:POWERS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:TAYLOR
Other - Last Name:ZORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2409 SPORTSMAN DR
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36867-5402
Mailing Address - Country:US
Mailing Address - Phone:334-763-1272
Mailing Address - Fax:
Practice Address - Street 1:2409 SPORTSMAN DR
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36867-5402
Practice Address - Country:US
Practice Address - Phone:334-297-5890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD.007471-C1122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist