Provider Demographics
NPI:1093920175
Name:ROWE AND ROWE SMILE STUDIO, P.A.
Entity Type:Organization
Organization Name:ROWE AND ROWE SMILE STUDIO, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:ROBERTS
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:870-932-4126
Mailing Address - Street 1:2850 BROWNS LN
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-7236
Mailing Address - Country:US
Mailing Address - Phone:870-932-4126
Mailing Address - Fax:870-932-4042
Practice Address - Street 1:2850 BROWNS LN
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-7236
Practice Address - Country:US
Practice Address - Phone:870-932-4126
Practice Address - Fax:870-932-4042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR33411223G0001X
AR34151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty