MEDICARE: DR. ROBERT A LOWE DDS, FAGD

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	7151	NC

General Provider Information

NPI Number	:	1508987280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT A LOWE DDS, FAGD

Provider Business Mailing Address
First Line	:	6836 MORRISON BLVD
Second Line	:	SUITE 202
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-2612
Country	:	US
Telephone Number	:	704-450-3321
Fax Number	:

Provider Business Practice Location Address
First Line	:	2809 COLTSGATE RD
Second Line	:	SUITE 200
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-5582
Country	:	US
Telephone Number	:	704-364-4711
Fax Number	:	704-364-1963

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

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	12/03/2014

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