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Individual

DR. MICHAEL P POWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1930 SR 59, #E, KENT, OH 44240
(330) 678-9942
(330) 678-3365
Mailing address
1930 SR 59, #E, KENT, OH 44240
(330) 678-9942
(330) 678-3365

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
30-01-8599
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30018599
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0677754
OH
01
135349222-00
BUREAU OF WORKER'S COMP
OH
Enumeration date
01/10/2006
Last updated
04/01/2009
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