Healthcare Provider Details

I. General information

NPI: 1922805423
Provider Name (Legal Business Name): NICHOLAS ROWLAND DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6817 N CEDAR RD STE 201
SPOKANE WA
99208-4277
US

IV. Provider business mailing address

1014 14TH AVE
COUNCIL BLUFFS IA
51501-6298
US

V. Phone/Fax

Practice location:
  • Phone: 509-326-8170
  • Fax:
Mailing address:
  • Phone: 928-580-5266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number70003278
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: