Provider Demographics
NPI:1265600654
Name:LOWDEN, KEVIN ALLEN (DDS MS PC)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ALLEN
Last Name:LOWDEN
Suffix:
Gender:M
Credentials:DDS MS PC
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Mailing Address - Street 1:755 MT VERNON HWY NE
Mailing Address - Street 2:SUITE 440
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30028
Mailing Address - Country:US
Mailing Address - Phone:404-257-5555
Mailing Address - Fax:404-257-1112
Practice Address - Street 1:755 MT VERNON HWY NE
Practice Address - Street 2:SUITE 440
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30028
Practice Address - Country:US
Practice Address - Phone:404-257-5555
Practice Address - Fax:404-257-1112
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GADN0129901223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics