Provider Demographics
NPI:1265593818
Name:COWLES, DENNIS M (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:M
Last Name:COWLES
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 1:39595 W. TEN MILE RD.
Mailing Address - Street 2:SUITE 106
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2948
Mailing Address - Country:US
Mailing Address - Phone:248-477-7230
Mailing Address - Fax:248-477-8501
Practice Address - Street 1:39595 W. TEN MILE
Practice Address - Street 2:SUITE 106
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-2948
Practice Address - Country:US
Practice Address - Phone:248-477-7230
Practice Address - Fax:248-477-8501
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI114851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice