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General NPI Number Information
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NPI Number | 1184828345
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Entity Type | Organization
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Legal Business Name | JON R. STOWERS D.D.S. M.S.P.C
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2520 ABARR DR
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City | LOVELAND
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State | CO
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Zip | 80538-3156
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Country | US
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Telephone | 970-667-9193
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Fax | 970-461-8066
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Provider Business Mailing Address
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Address Line | 2520 ABARR DR
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City | LOVELAND
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State | CO
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Zip | 80538-3156
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Country | US
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Telephone | 970-667-9193
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Fax | 970-461-8066
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. CONNIE SUE STOWERS
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Credential | ASSOC IN SCIENCE
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Telephone | 970-667-9193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 7886
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License Number State | CO
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