Provider Demographics
NPI:1902170483
Name:MATTHEW C. LOWE DDS INC
Entity Type:Organization
Organization Name:MATTHEW C. LOWE DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:C
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:620-230-0035
Mailing Address - Street 1:2711 S. ROUSE ST., STE A
Mailing Address - Street 2:MT. CARMEL PLAZA
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762
Mailing Address - Country:US
Mailing Address - Phone:620-230-0035
Mailing Address - Fax:620-230-0035
Practice Address - Street 1:2711 S. ROUSE ST., STE A
Practice Address - Street 2:MT. CARMEL PLAZA
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762
Practice Address - Country:US
Practice Address - Phone:620-230-0035
Practice Address - Fax:620-230-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty