Provider Demographics
NPI:1578672218
Name:LOWE, RONALD JEFFREY (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JEFFREY
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 1:901 NORTH WINSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-8712
Mailing Address - Country:US
Mailing Address - Phone:252-443-6044
Mailing Address - Fax:252-937-2603
Practice Address - Street 1:901 NORTH WINSTEAD AVE
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-8712
Practice Address - Country:US
Practice Address - Phone:252-443-6044
Practice Address - Fax:252-937-2603
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3475122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist