Provider Demographics
NPI:1336555440
Name:LOWRIE, CRAIG (DMD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:
Last Name:LOWRIE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 S SEWARD MERIDIAN PKWY
Mailing Address - Street 2:SUITE E
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-8312
Mailing Address - Country:US
Mailing Address - Phone:907-357-5018
Mailing Address - Fax:907-864-1091
Practice Address - Street 1:1401 S SEWARD MERIDIAN PKWY
Practice Address - Street 2:SUITE E
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-8312
Practice Address - Country:US
Practice Address - Phone:907-357-5018
Practice Address - Fax:907-864-1091
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK15701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice