Provider Demographics
NPI:1215060363
Name:DONALD POWERS DDS,INC.
Entity type:Organization
Organization Name:DONALD POWERS DDS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-885-5463
Mailing Address - Street 1:9381 W SPRAGUE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-1209
Mailing Address - Country:US
Mailing Address - Phone:440-885-5463
Mailing Address - Fax:440-885-5191
Practice Address - Street 1:9381 W SPRAGUE RD
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-1209
Practice Address - Country:US
Practice Address - Phone:440-885-5463
Practice Address - Fax:440-885-5191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0166891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH$$$$$$$$$OtherSSN #