Provider Demographics
NPI:1124046164
Name:COWLES, ARLEN R (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARLEN
Middle Name:R
Last Name:COWLES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3208 LONG PRAIRIE ROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-4960
Mailing Address - Country:US
Mailing Address - Phone:972-539-7759
Mailing Address - Fax:972-539-4310
Practice Address - Street 1:3208 LONG PRAIRIE ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4960
Practice Address - Country:US
Practice Address - Phone:972-539-7759
Practice Address - Fax:972-539-4310
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX148461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice