Provider Demographics
NPI:1114058542
Name:FLOWERS, DARREN L (DMD)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:L
Last Name:FLOWERS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3618 W ANTHEM WAY STE D132
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-0419
Mailing Address - Country:US
Mailing Address - Phone:623-551-8000
Mailing Address - Fax:623-465-4604
Practice Address - Street 1:3618 W ANTHEM WAY STE D132
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-0419
Practice Address - Country:US
Practice Address - Phone:623-551-8000
Practice Address - Fax:623-465-4604
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD51171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice