Linda C Powers, D.D.S., M.S.D
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Lyons, IN
NPI 1174658975 · NPPES record last updated May 14, 2014
Key facts
- NPI
- 1174658975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 120100182 (IN)
- Practice address
- 195 E Broad St # 236
Lyons, IN 47443-9502 - Phone
- (812) 659-9100
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 120100182 | IN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 120100182 | IN | Yes |
Addresses
Primary practice location
195 E Broad St # 236
Lyons, IN 47443-9502
Mailing address
195 E Broad St # 236
Lyons, IN 47443-9502
Phone (812) 659-9100
Other providers in Lyons, IN
- Green Dental
- Brooks Andrew Green
- Gordon Keith Green
- Stephanie Heinrich
- Laura Jones
- Scott W Powers
- William Ray Powers
- Riverview Hospital
- Lau Tran
- Maria Michelle Walker
All providers in Lyons, IN · Orthodontics and Dentofacial Orthopedics Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.