MEDICARE: COWAN AND ASSOCIATES, 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	1223E0200X	Endodontics	7432	FL
2	1223E0200X	Endodontics	9476	FL
3	1223P0300X	Periodontics	9694	FL
4	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	9191	FL
5	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	9783	FL
6	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	16125	FL
7	1223P0300X	Periodontics	17373	FL

General Provider Information

NPI Number	:	1104844596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COWAN AND ASSOCIATES, DDS, PA

Provider Business Mailing Address
First Line	:	8320 W SUNRISE BLVD
Second Line	:	SUITE 106
City	:	PLANTATION
State	:	FL
Zip	:	33322-5435
Country	:	US
Telephone Number	:	954-474-9660
Fax Number	:	954-474-9699

Provider Business Practice Location Address
First Line	:	8320 W SUNRISE BLVD
Second Line	:	SUITE 106
City	:	PLANTATION
State	:	FL
Zip	:	33322-5435
Country	:	US
Telephone Number	:	954-474-9660
Fax Number	:	954-474-9699

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARC COWAN
Credential	:
Telephone Number	:	954-474-9660

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	09/11/2025

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Directions to “COWAN AND ASSOCIATES, DDS, PA ” Practice Location

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