Provider Demographics
NPI:1710292057
Name:ROWE, MICHELLE ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ANN
Last Name:ROWE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6851 S. HOLLY CIR.
Mailing Address - Street 2:SUITE 170
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:303-759-5652
Mailing Address - Fax:720-489-9800
Practice Address - Street 1:6851 S. HOLLY CIR.
Practice Address - Street 2:SUITE 170
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:303-759-5652
Practice Address - Fax:720-489-9800
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-11
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN201940122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist