Provider Demographics
NPI:1205031580
Name:ROBERT W. MOWER D.D.S., APC
Entity Type:Organization
Organization Name:ROBERT W. MOWER D.D.S., APC
Other - Org Name:SCV ORAL AND MAXILLOFACIAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MOWER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:661-255-1515
Mailing Address - Street 1:26357 MCBEAN PKWY
Mailing Address - Street 2:SUITE 255
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4488
Mailing Address - Country:US
Mailing Address - Phone:661-255-1515
Mailing Address - Fax:661-255-1661
Practice Address - Street 1:26357 MCBEAN PKWY
Practice Address - Street 2:SUITE 255
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4488
Practice Address - Country:US
Practice Address - Phone:661-255-1515
Practice Address - Fax:661-255-1661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45296261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherTAX ID