Dana Kelly Powers, D.D.S.

Individual provider Active NPI General Practice Dentistry · Manchester, MA

NPI 1063545440 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1063545440
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
17848 (MA)
Practice address
41 Vine St
Manchester, MA 01944-1143
Phone
(978) 526-7707
Fax
(978) 526-1051
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
17848MAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17848 MA Yes

Addresses

Primary practice location

41 Vine St
Manchester, MA 01944-1143

Mailing address

41 Vine St
Manchester, MA 01944-1143
Phone (978) 526-7707

Other names

  • Dana K. Powers Professional name

Other providers in Manchester, MA

All providers in Manchester, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.