Provider Demographics
NPI:1225219389
Name:LOW FAMILY DENTISTRY, LLP
Entity Type:Organization
Organization Name:LOW FAMILY DENTISTRY, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:G
Authorized Official - Last Name:LOW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-742-6321
Mailing Address - Street 1:2538 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-1700
Mailing Address - Country:US
Mailing Address - Phone:918-742-6321
Mailing Address - Fax:918-743-3011
Practice Address - Street 1:2538 E 21ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-1700
Practice Address - Country:US
Practice Address - Phone:918-742-6321
Practice Address - Fax:918-743-3011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK39461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty