Provider Demographics
NPI:1295845881
Name:ROWLAND, JUDY GARARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUDY
Middle Name:GARARD
Last Name:ROWLAND
Suffix:
Gender:F
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:PO BOX 8369
Mailing Address - Street 2:
Mailing Address - City:MADEIRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33738-8369
Mailing Address - Country:US
Mailing Address - Phone:727-381-7888
Mailing Address - Fax:727-347-5569
Practice Address - Street 1:901 TYRONE BLVD N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-6332
Practice Address - Country:US
Practice Address - Phone:727-381-7888
Practice Address - Fax:727-347-5569
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00118141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice