Provider Demographics
NPI:1366677817
Name:COWEN, NEIL RICHARD (DDS)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:RICHARD
Last Name:COWEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 S LAFAYETTE ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3957
Mailing Address - Country:US
Mailing Address - Phone:303-761-8688
Mailing Address - Fax:303-761-1796
Practice Address - Street 1:3535 S LAFAYETTE ST
Practice Address - Street 2:SUITE 108
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3957
Practice Address - Country:US
Practice Address - Phone:303-761-8688
Practice Address - Fax:303-761-1796
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL7431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice