Provider Demographics
NPI:1649755505
Name:LOWREY, WILLIAM (DMD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:LOWREY
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 1:836 NE 67TH ST APT 712
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5882
Mailing Address - Country:US
Mailing Address - Phone:802-299-5325
Mailing Address - Fax:
Practice Address - Street 1:836 NE 67TH ST APT 712
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5882
Practice Address - Country:US
Practice Address - Phone:802-299-5325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE608749761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice