Individual
DR. SCOTT W POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
195 E BROAD ST, LYONS, IN 47443-0236
(812) 659-3901
(812) 659-3903
Mailing address
PO BOX 236, LYONS, IN 47443-0236
(812) 659-3901
(812) 659-3903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010062
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352116058001
ANTHEM FEDERAL EMPLOYEE
IN
Enumeration date
06/22/2006
Last updated
07/08/2007
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