Provider Demographics
NPI:1609896448
Name:ROWLAND, PRESTON BERNARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:PRESTON
Middle Name:BERNARD
Last Name:ROWLAND
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:PO BOX 997
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:MD
Mailing Address - Zip Code:21152-0997
Mailing Address - Country:US
Mailing Address - Phone:410-529-3264
Mailing Address - Fax:
Practice Address - Street 1:8441 BELAIR RD
Practice Address - Street 2:SUITE G-3
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-3025
Practice Address - Country:US
Practice Address - Phone:410-529-3264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD86181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice