Provider Demographics
NPI:1942570361
Name:ROWE, STEPHEN GLOVER (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:GLOVER
Last Name:ROWE
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 1:1750 BABE JACKSON DR
Mailing Address - Street 2:
Mailing Address - City:RAINBOW CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35906-7372
Mailing Address - Country:US
Mailing Address - Phone:205-617-2187
Mailing Address - Fax:
Practice Address - Street 1:1750 BABE JACKSON DR
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-7372
Practice Address - Country:US
Practice Address - Phone:205-617-2187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-02
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4121C1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist