Provider Demographics
NPI:1831513191
Name:LOWRY, ROBERT GREGORY (DDS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:GREGORY
Last Name:LOWRY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 STATE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-6512
Mailing Address - Country:US
Mailing Address - Phone:805-963-9899
Mailing Address - Fax:805-963-2147
Practice Address - Street 1:1525 STATE ST STE 200
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-6512
Practice Address - Country:US
Practice Address - Phone:805-963-9899
Practice Address - Fax:805-963-2147
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25003122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist