Provider Demographics
NPI:1952497638
Name:COWELL, NANCY J (DMD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:J
Last Name:COWELL
Suffix:
Gender:F
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:P.O. BOX 8
Mailing Address - Street 2:
Mailing Address - City:CANEY
Mailing Address - State:KS
Mailing Address - Zip Code:67333
Mailing Address - Country:US
Mailing Address - Phone:620-879-2386
Mailing Address - Fax:620-879-5651
Practice Address - Street 1:101 S. MCGEE
Practice Address - Street 2:
Practice Address - City:CANEY
Practice Address - State:KS
Practice Address - Zip Code:67333
Practice Address - Country:US
Practice Address - Phone:620-879-2386
Practice Address - Fax:620-879-5651
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS601711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice