Provider Demographics
NPI:1598850356
Name:ROWE, CAROL-ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAROL-ANN
Middle Name:
Last Name:ROWE
Suffix:
Gender:F
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:PO BOX 31717
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89173-1717
Mailing Address - Country:US
Mailing Address - Phone:702-838-3311
Mailing Address - Fax:702-737-3311
Practice Address - Street 1:3885 S DECATUR BLVD
Practice Address - Street 2:SUITE 1100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103
Practice Address - Country:US
Practice Address - Phone:702-838-3311
Practice Address - Fax:702-737-3311
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3482122300000X
CA45819122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist