| Jason W Lowry Dds Pllc | |
|
1730 E Beverly Ave Kingman AZ 86409-3500 | |
| (928) 753-5069 | |
| (928) 753-8115 |
| Full Name | Jason W Lowry Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1730 E Beverly Ave, Kingman, Arizona |
| Authorized Official Name and Position | Jason Wayne Lowry (OWNER) |
| Authorized Official Contact | 9287535069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason W Lowry Dds Pllc 1730 E Beverly Ave Kingman AZ 86409-3500 Ph: (928) 753-5069 | Jason W Lowry Dds Pllc 1730 E Beverly Ave Kingman AZ 86409-3500 Ph: (928) 753-5069 |
| NPI Number | 1033484720 |
|---|---|
| Provider Enumeration Date | 03/14/2012 |
| Last Update Date | 06/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033484720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6171 (Arizona) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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