Provider Demographics
NPI:1184828345
Name:JON R. STOWERS D.D.S. M.S.P.C
Entity Type:Organization
Organization Name:JON R. STOWERS D.D.S. M.S.P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:STOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:ASSOC IN SCIENCE
Authorized Official - Phone:970-667-9193
Mailing Address - Street 1:2520 ABARR DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-3156
Mailing Address - Country:US
Mailing Address - Phone:970-667-9193
Mailing Address - Fax:970-461-8066
Practice Address - Street 1:2520 ABARR DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-3156
Practice Address - Country:US
Practice Address - Phone:970-667-9193
Practice Address - Fax:970-461-8066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO78861223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty