Provider Demographics
NPI:1639386873
Name:LOWE, JOSEPH RAY (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RAY
Last Name:LOWE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USA DENTAC BAVARIA
Mailing Address - Street 2:UNIT 28038
Mailing Address - City:VILSECK
Mailing Address - State:GERMANY
Mailing Address - Zip Code:APO
Mailing Address - Country:DE
Mailing Address - Phone:01149962-283-4738
Mailing Address - Fax:01149962-283-7719
Practice Address - Street 1:USA DENTAC BAVARIA
Practice Address - Street 2:UNIT 28038
Practice Address - City:VILSECK
Practice Address - State:GERMANY
Practice Address - Zip Code:APO
Practice Address - Country:DE
Practice Address - Phone:01149962-283-4738
Practice Address - Fax:01149962-283-7719
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14129122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No122300000XDental ProvidersDentist