Provider Demographics
NPI:1902857584
Name:MERRIL F ROWE DDS PC
Entity Type:Organization
Organization Name:MERRIL F ROWE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MERRIL
Authorized Official - Middle Name:F
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-617-9100
Mailing Address - Street 1:3574 S TOWER RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013
Mailing Address - Country:US
Mailing Address - Phone:303-617-9100
Mailing Address - Fax:303-617-9198
Practice Address - Street 1:3574 S TOWER RD
Practice Address - Street 2:UNIT B
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013
Practice Address - Country:US
Practice Address - Phone:303-617-9100
Practice Address - Fax:303-617-9198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COH011050061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty