Provider Demographics
NPI:1518969054
Name:STOWE, DANNY T (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:T
Last Name:STOWE
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 1:139 PATRICK AVE
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:OH
Mailing Address - Zip Code:43078-2123
Mailing Address - Country:US
Mailing Address - Phone:937-653-8650
Mailing Address - Fax:937-653-8606
Practice Address - Street 1:18 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:OH
Practice Address - Zip Code:43044-1111
Practice Address - Country:US
Practice Address - Phone:937-834-2252
Practice Address - Fax:937-834-2269
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300155241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0567579Medicaid