Provider Demographics
NPI:1417390766
Name:ALLESSANDRA M. BENNETT LOWERY, DDS, PLLC
Entity Type:Organization
Organization Name:ALLESSANDRA M. BENNETT LOWERY, DDS, PLLC
Other - Org Name:NICE SMILE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLESSANDRA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:BENNETT LOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:252-341-4864
Mailing Address - Street 1:3740 SOUTH EVANS ST, SUITE C
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834
Mailing Address - Country:US
Mailing Address - Phone:252-493-4926
Mailing Address - Fax:
Practice Address - Street 1:3740 SOUTH EVANS ST, SUITE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-493-4926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC78601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty