Provider Demographics
NPI:1194857110
Name:LOWRY, JAMES JOEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JOEL
Last Name:LOWRY
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 1:2122 TEXAS ST
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:76384-4452
Mailing Address - Country:US
Mailing Address - Phone:940-552-5477
Mailing Address - Fax:940-552-6677
Practice Address - Street 1:2122 TEXAS ST
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-4452
Practice Address - Country:US
Practice Address - Phone:940-552-5477
Practice Address - Fax:940-552-6677
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX090861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice