Provider Demographics
NPI:1346412517
Name:COWIE, BETH JENNIFER (DDS)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:JENNIFER
Last Name:COWIE
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 250
Mailing Address - Street 2:43 BRIDGE ST
Mailing Address - City:PELHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03076
Mailing Address - Country:US
Mailing Address - Phone:603-635-2151
Mailing Address - Fax:603-635-9924
Practice Address - Street 1:43 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NH
Practice Address - Zip Code:03076
Practice Address - Country:US
Practice Address - Phone:603-635-2151
Practice Address - Fax:603-635-9924
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03577122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist