Provider Demographics
NPI:1295894467
Name:LOWDON, JAMES IAN JR (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:IAN
Last Name:LOWDON
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:2823 WILLIAMSON RD NW
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-4351
Mailing Address - Country:US
Mailing Address - Phone:540-366-5373
Mailing Address - Fax:540-366-6831
Practice Address - Street 1:2823 WILLIAMSON RD NW
Practice Address - Street 2:SUITE 1
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-4351
Practice Address - Country:US
Practice Address - Phone:540-366-5373
Practice Address - Fax:540-366-6831
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA04010059321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice