Provider Demographics
NPI:1922161371
Name:BROWER, JOSHUA S (DDS)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:S
Last Name:BROWER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 3RD AVE NW
Mailing Address - Street 2:
Mailing Address - City:LEMARS
Mailing Address - State:IA
Mailing Address - Zip Code:51031
Mailing Address - Country:US
Mailing Address - Phone:712-548-4615
Mailing Address - Fax:712-548-4619
Practice Address - Street 1:37 3RD AVE NW
Practice Address - Street 2:
Practice Address - City:LEMARS
Practice Address - State:IA
Practice Address - Zip Code:51031
Practice Address - Country:US
Practice Address - Phone:712-548-4615
Practice Address - Fax:712-548-4619
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA08023122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA42016OtherBCBS
IA0236562Medicaid