Provider Demographics
NPI:1689671356
Name:ROWE, HOWARD LEWIS (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:LEWIS
Last Name:ROWE
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 1:8527 HIXSON PIKE
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-1559
Mailing Address - Country:US
Mailing Address - Phone:423-842-1402
Mailing Address - Fax:423-842-1403
Practice Address - Street 1:8527 HIXSON PIKE
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-1559
Practice Address - Country:US
Practice Address - Phone:423-842-1402
Practice Address - Fax:423-842-1403
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice