Provider Demographics
NPI:1619579240
Name:STEVEN M. ROWAN DMD INC.
Entity Type:Organization
Organization Name:STEVEN M. ROWAN DMD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE ORAL & MAX SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ROWAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DDS
Authorized Official - Phone:209-383-9300
Mailing Address - Street 1:197 W EL PORTAL DR STE B
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-2850
Mailing Address - Country:US
Mailing Address - Phone:209-383-9300
Mailing Address - Fax:209-383-9303
Practice Address - Street 1:197 W EL PORTAL DR STE B
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-2850
Practice Address - Country:US
Practice Address - Phone:209-383-9300
Practice Address - Fax:209-383-9303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery