Provider Demographics
NPI:1689779126
Name:SCOTT D. LOWRY D.D.S, P.C.
Entity Type:Organization
Organization Name:SCOTT D. LOWRY D.D.S, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOWRY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-419-6130
Mailing Address - Street 1:6795 SADDLEBACK AVE
Mailing Address - Street 2:
Mailing Address - City:FIRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:80504-6701
Mailing Address - Country:US
Mailing Address - Phone:303-419-6130
Mailing Address - Fax:303-833-5511
Practice Address - Street 1:2131 S CHAMBERS RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4503
Practice Address - Country:US
Practice Address - Phone:303-419-6130
Practice Address - Fax:303-833-5511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO84251223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty