Provider Demographics
NPI:1750487492
Name:LOWNEY, JENNIFER JOAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:JOAN
Last Name:LOWNEY
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 1:100 SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-4106
Mailing Address - Country:US
Mailing Address - Phone:860-886-1466
Mailing Address - Fax:860-886-1163
Practice Address - Street 1:100 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-4106
Practice Address - Country:US
Practice Address - Phone:860-886-1466
Practice Address - Fax:860-886-1163
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0077381223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics