Provider Demographics
NPI:1871690503
Name:LOWELL, CARL V (DMD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:V
Last Name:LOWELL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 SOUTH DIXIE HIGHWAY
Mailing Address - Street 2:SUITE 4 J
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146
Mailing Address - Country:US
Mailing Address - Phone:305-665-7771
Mailing Address - Fax:305-665-7771
Practice Address - Street 1:420 SOUTH DIXIE HIGHWAY
Practice Address - Street 2:SUITE 4 J
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146
Practice Address - Country:US
Practice Address - Phone:305-665-7771
Practice Address - Fax:305-665-7771
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN7034122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist