Provider Demographics
NPI:1265655997
Name:LOWENGUTH, ROXANNE A (DDS MS)
Entity type:Individual
Prefix:DR
First Name:ROXANNE
Middle Name:A
Last Name:LOWENGUTH
Suffix:
Gender:F
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1815 SOUTH CLINTON AVE
Mailing Address - Street 2:SUITE 510
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14610
Mailing Address - Country:US
Mailing Address - Phone:585-473-7600
Mailing Address - Fax:585-473-7653
Practice Address - Street 1:1815 SOUTH CLINTON AVE
Practice Address - Street 2:SUITE 510
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14610
Practice Address - Country:US
Practice Address - Phone:585-473-7600
Practice Address - Fax:585-473-7653
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY0409481223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics