MEDICARE: DR. VICTOR ALEXANDER LOWELL DMD

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	DN17451	FL

General Provider Information

NPI Number	:	1295993343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTOR ALEXANDER LOWELL DMD

Provider Business Mailing Address
First Line	:	420 SOUTH DIXIE HIGHWAY
Second Line	:	SUITE 4J
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2232
Country	:	US
Telephone Number	:	305-665-7771
Fax Number	:	305-665-7784

Provider Business Practice Location Address
First Line	:	420 SOUTH DIXIE HIGHWAY
Second Line	:	SUITE 4J
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2232
Country	:	US
Telephone Number	:	305-665-7771
Fax Number	:	305-665-7784

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

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	05/27/2008

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