Provider Demographics
NPI:1740201656
Name:LOWE DENTAL CARE
Entity type:Organization
Organization Name:LOWE DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:LOWE-RICHENS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-451-1889
Mailing Address - Street 1:1552 W WARM SPRINGS RD
Mailing Address - Street 2:STE 120
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-4327
Mailing Address - Country:US
Mailing Address - Phone:701-451-1889
Mailing Address - Fax:702-451-6067
Practice Address - Street 1:1552 W WARM SPRINGS RD
Practice Address - Street 2:STE 120
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-4327
Practice Address - Country:US
Practice Address - Phone:701-451-1889
Practice Address - Fax:702-451-6067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3193122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV=========OtherTAX IDENTIFCATION #