Provider Demographics
NPI:1417686452
Name:ROWE, HARLEE BROOKE (DMD)
Entity Type:Individual
Prefix:DR
First Name:HARLEE
Middle Name:BROOKE
Last Name:ROWE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CHARLES CROSS WAY UNIT 5301
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-9391
Mailing Address - Country:US
Mailing Address - Phone:614-441-5334
Mailing Address - Fax:
Practice Address - Street 1:21 CHARLES CROSS WAY UNIT 5301
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-9391
Practice Address - Country:US
Practice Address - Phone:614-441-5334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC127471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice