MEDICARE: ARLEN R COWLES DDS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	14846	TX

General Provider Information

NPI Number	:	1063798759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARLEN R COWLES DDS PA

Provider Business Mailing Address
First Line	:	3208 LONG PRAIRIE RD
Second Line	:	SUITE A
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-2718
Country	:	US
Telephone Number	:	972-539-7759
Fax Number	:	972-539-4310

Provider Business Practice Location Address
First Line	:	3208 LONG PRAIRIE RD
Second Line	:	SUITE A
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-2718
Country	:	US
Telephone Number	:	972-539-7759
Fax Number	:	972-539-4310

Authorized Official
Title or Position	:	OWNER/PRACTITIONER
Name	:	DR. ARLEN R COWLES
Credential	:	DDS
Telephone Number	:	972-539-7759

Provider Enumeration Date	:	10/26/2011
Last Update Date	:	10/26/2011

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