Provider Demographics
NPI:1144507781
Name:DR.S LOWE, NGUYEN & DO
Entity type:Organization
Organization Name:DR.S LOWE, NGUYEN & DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:C
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:918-743-8133
Mailing Address - Street 1:4157 S HARVARD AVE STE 119
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-2606
Mailing Address - Country:US
Mailing Address - Phone:918-743-8133
Mailing Address - Fax:918-743-3296
Practice Address - Street 1:4157 S HARVARD AVE STE 119
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2606
Practice Address - Country:US
Practice Address - Phone:918-743-8133
Practice Address - Fax:918-743-3296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK41741223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty