Provider Demographics
NPI:1952510356
Name:LOWDER & STORMS ORTHODONTICS
Entity Type:Organization
Organization Name:LOWDER & STORMS ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARRIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:STORMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, CAGS, PA
Authorized Official - Phone:479-521-8887
Mailing Address - Street 1:4102 N MALL AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-4929
Mailing Address - Country:US
Mailing Address - Phone:479-521-8887
Mailing Address - Fax:479-521-8889
Practice Address - Street 1:4102 N MALL AVE STE 101
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4929
Practice Address - Country:US
Practice Address - Phone:479-521-8887
Practice Address - Fax:479-521-8889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR34471223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty