MEDICARE: DR. CAROL-ANN ROWE DDS

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	122300000X	Dentist	3482	NV
2	122300000X	Dentist	45819	CA

General Provider Information

NPI Number	:	1598850356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL-ANN ROWE DDS

Provider Business Mailing Address
First Line	:	PO BOX 31717
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89173-1717
Country	:	US
Telephone Number	:	702-838-3311
Fax Number	:	702-737-3311

Provider Business Practice Location Address
First Line	:	3885 S DECATUR BLVD
Second Line	:	SUITE 1100
City	:	LAS VEGAS
State	:	NV
Zip	:	89103
Country	:	US
Telephone Number	:	702-838-3311
Fax Number	:	702-737-3311

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/08/2007

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