Provider Demographics
NPI:1912111949
Name:DROWLEY, JAMIE RAE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:RAE
Last Name:DROWLEY
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 1:11519 VELICATA CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-7581
Mailing Address - Country:US
Mailing Address - Phone:702-228-3459
Mailing Address - Fax:702-228-3459
Practice Address - Street 1:11519 VELICATA CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89138-7581
Practice Address - Country:US
Practice Address - Phone:702-228-3459
Practice Address - Fax:702-228-3459
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4593T1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics