Provider Demographics
NPI:1235530247
Name:LOWRY, CATHERINE HARKIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:HARKIN
Last Name:LOWRY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ROSE
Other - Last Name:HARKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:9063 TARMAC WAY
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-8144
Mailing Address - Country:US
Mailing Address - Phone:916-878-6780
Mailing Address - Fax:
Practice Address - Street 1:2441 21ST ST
Practice Address - Street 2:US ARMY DENTAL ACTIVITY
Practice Address - City:FORT CAMPBELL
Practice Address - State:KY
Practice Address - Zip Code:42223-5582
Practice Address - Country:US
Practice Address - Phone:270-798-8614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9929122300000X
CADDS1049371223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist