Provider Demographics
NPI:1710187935
Name:THROWER, EBONEE M (DDS)
Entity Type:Individual
Prefix:DR
First Name:EBONEE
Middle Name:M
Last Name:THROWER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:EBONEE
Other - Middle Name:M
Other - Last Name:STARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:10201 MARTIN LUTHER KING JR HWY
Mailing Address - Street 2:SUITE 240A
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4220
Mailing Address - Country:US
Mailing Address - Phone:240-764-5753
Mailing Address - Fax:240-764-5799
Practice Address - Street 1:10201 MARTIN LUTHER KING JR HWY
Practice Address - Street 2:SUITE 240A
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4220
Practice Address - Country:US
Practice Address - Phone:240-764-5753
Practice Address - Fax:240-764-5799
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD143991223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry