Provider Demographics
NPI:1568559482
Name:LOWE, ROBERT BRUCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BRUCE
Last Name:LOWE
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 1:181 GRANVILLE ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-2967
Mailing Address - Country:US
Mailing Address - Phone:614-471-2927
Mailing Address - Fax:614-471-2174
Practice Address - Street 1:181 GRANVILLE ST
Practice Address - Street 2:SUITE 308
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-2967
Practice Address - Country:US
Practice Address - Phone:614-471-2927
Practice Address - Fax:614-471-2174
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH194331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice