Provider Demographics
NPI:1386654747
Name:ROWE, TODD K (DMD MS)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:K
Last Name:ROWE
Suffix:
Gender:M
Credentials:DMD MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 PARK STREET
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-5602
Mailing Address - Country:US
Mailing Address - Phone:978-537-6100
Mailing Address - Fax:978-537-4007
Practice Address - Street 1:11 PARK STREET
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-5602
Practice Address - Country:US
Practice Address - Phone:978-537-6100
Practice Address - Fax:978-537-4007
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16141122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist