Provider Demographics
NPI:1497813398
Name:COWDEN, DOUGLAS ELWOOD (DDS)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ELWOOD
Last Name:COWDEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 MORAGA RD STE B
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4543
Mailing Address - Country:US
Mailing Address - Phone:925-283-0313
Mailing Address - Fax:925-283-6818
Practice Address - Street 1:905 MORAGA RD STE B
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4543
Practice Address - Country:US
Practice Address - Phone:925-283-0313
Practice Address - Fax:925-283-6818
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice