Healthcare Provider Details

I. General information

NPI: 1235907577
Provider Name (Legal Business Name): LOWRY ORTHODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2023
Last Update Date: 12/15/2023
Certification Date: 12/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 RAMPART WAY STE 301
DENVER CO
80230-6447
US

IV. Provider business mailing address

125 RAMPART WAY STE 301
DENVER CO
80230-6447
US

V. Phone/Fax

Practice location:
  • Phone: 303-366-9090
  • Fax:
Mailing address:
  • Phone: 303-366-9090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JOANNA LEVIN
Title or Position: ORTHODONTIST/OWNER
Credential:
Phone: 303-366-9090