MEDICARE: DR. CURTIS LEE ROW D D S

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	11058	MO

General Provider Information

NPI Number	:	1184841249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURTIS LEE ROW D D S

Provider Business Mailing Address
First Line	:	510 BAXTER RD
Second Line	:	SUITE #3
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-7032
Country	:	US
Telephone Number	:	636-391-1911
Fax Number	:	636-391-0629

Provider Business Practice Location Address
First Line	:	510 BAXTER RD
Second Line	:	SUITE #3
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-7032
Country	:	US
Telephone Number	:	636-391-1911
Fax Number	:	636-391-0629

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	07/15/2016

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