MEDICARE: DR. SCOTT T ROWLEY DMD, MSD

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	1223P0221X	Pediatric Dentistry	DE00009180	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679576334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT T ROWLEY DMD, MSD

Provider Business Mailing Address
First Line	:	615 N F ST
Second Line	:
City	:	ABERDEEN
State	:	WA
Zip	:	98520-2657
Country	:	US
Telephone Number	:	360-533-8846
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 N F ST
Second Line	:
City	:	ABERDEEN
State	:	WA
Zip	:	98520-2657
Country	:	US
Telephone Number	:	360-533-8846
Fax Number	:	360-533-7446

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/09/2007

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