Provider Demographics
NPI:1417985649
Name:LOWE, BRET K (DDS, PC)
Entity Type:Individual
Prefix:DR
First Name:BRET
Middle Name:K
Last Name:LOWE
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 W HOSPITAL DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PRICE
Mailing Address - State:UT
Mailing Address - Zip Code:84501-4214
Mailing Address - Country:US
Mailing Address - Phone:435-637-2929
Mailing Address - Fax:435-613-0695
Practice Address - Street 1:945 W HOSPITAL DR
Practice Address - Street 2:SUITE 5
Practice Address - City:PRICE
Practice Address - State:UT
Practice Address - Zip Code:84501-4214
Practice Address - Country:US
Practice Address - Phone:435-637-2929
Practice Address - Fax:435-613-0695
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT376055-99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT67583OtherCONCORDIA
KS417012OtherBCBS OF KS
UT55372OtherPEHP