Provider Demographics
NPI:1922464122
Name:ROWE, MERRIL (DDS)
Entity Type:Individual
Prefix:
First Name:MERRIL
Middle Name:
Last Name:ROWE
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 1:3574 S TOWER RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-3562
Mailing Address - Country:US
Mailing Address - Phone:303-617-9100
Mailing Address - Fax:303-617-9198
Practice Address - Street 1:3574 S TOWER RD UNIT B
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-3562
Practice Address - Country:US
Practice Address - Phone:303-617-9100
Practice Address - Fax:303-617-9198
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COHD105006122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist