Provider Demographics
NPI:1861646960
Name:ROBERT ROWLAND, DMD, PC
Entity Type:Organization
Organization Name:ROBERT ROWLAND, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:FREDERIC
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:573-776-7333
Mailing Address - Street 1:1611A LURLYN DR
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-2763
Mailing Address - Country:US
Mailing Address - Phone:573-776-7366
Mailing Address - Fax:
Practice Address - Street 1:1611A LURLYN DR
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-2763
Practice Address - Country:US
Practice Address - Phone:573-776-7366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty