Provider Demographics
NPI:1811092497
Name:ELWOOD-COWAN, ADRIENNE (DDS)
Entity type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:
Last Name:ELWOOD-COWAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3810 N ELM ST STE 201
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-2726
Mailing Address - Country:US
Mailing Address - Phone:336-885-9021
Mailing Address - Fax:336-885-9031
Practice Address - Street 1:3810 N ELM ST STE 201
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-2726
Practice Address - Country:US
Practice Address - Phone:336-545-4281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC79291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice