Provider Demographics
NPI:1376618637
Name:SCHOW, J. KEVIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:J.
Middle Name:KEVIN
Last Name:SCHOW
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 SE 117TH AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-5297
Mailing Address - Country:US
Mailing Address - Phone:360-334-4400
Mailing Address - Fax:360-883-0468
Practice Address - Street 1:601 SE 117TH AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-5297
Practice Address - Country:US
Practice Address - Phone:360-334-4400
Practice Address - Fax:360-883-0468
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA000085671223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics