Provider Demographics
NPI:1710471081
Name:COWDIN, ANNA DILLARD (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:DILLARD
Last Name:COWDIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11805 NEERING DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-1929
Mailing Address - Country:US
Mailing Address - Phone:210-254-3398
Mailing Address - Fax:
Practice Address - Street 1:11805 NEERING DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-1929
Practice Address - Country:US
Practice Address - Phone:210-254-3398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX342551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice