Provider Demographics
NPI:1881791309
Name:RONALD J LOWE DDS PA
Entity type:Organization
Organization Name:RONALD J LOWE DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST PRESIDENT OF CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:252-443-6044
Mailing Address - Street 1:901 NORTH WINSTEAD AVE
Mailing Address - Street 2:STE 110
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804
Mailing Address - Country:US
Mailing Address - Phone:252-443-6044
Mailing Address - Fax:252-937-2603
Practice Address - Street 1:901 NORTH WINSTEAD AVE
Practice Address - Street 2:STE 110
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804
Practice Address - Country:US
Practice Address - Phone:252-443-6044
Practice Address - Fax:252-937-2603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U41497Medicare UPIN