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General NPI Number Information
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NPI Number | 1104844596
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Entity Type | Organization
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Legal Business Name | COWAN AND ASSOCIATES, DDS, PA
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8320 W SUNRISE BLVD SUITE 106
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City | PLANTATION
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State | FL
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Zip | 33322-5435
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Country | US
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Telephone | 954-474-9660
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Fax | 954-474-9699
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Provider Business Mailing Address
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Address Line | 8320 W SUNRISE BLVD SUITE 106
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City | PLANTATION
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State | FL
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Zip | 33322-5435
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Country | US
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Telephone | 954-474-9660
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Fax | 954-474-9699
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARC COWAN
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Credential |
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Telephone | 954-474-9660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 7432
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 9476
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 9694
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 9191
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 9783
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 16125
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 17373
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License Number State | FL
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