Healthcare Provider Details

I. General information

NPI: 1639386873
Provider Name (Legal Business Name): JOSEPH RAY LOWE D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USA DENTAC BAVARIA UNIT 28038
VILSECK GERMANY
APO
DE

IV. Provider business mailing address

USA DENTAC BAVARIA UNIT 28038
VILSECK GERMANY
APO
DE

V. Phone/Fax

Practice location:
  • Phone: 011499622834738
  • Fax: 011499622837719
Mailing address:
  • Phone: 011499622834738
  • Fax: 011499622837719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN14129
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN14129
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: