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NPI Code Detail

MEDICARE: DR. MICHAEL COLEMAN ROWLAND D.D.S.

MEDICARE: DR. MICHAEL COLEMAN ROWLAND 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
11223G0001XGeneral Practice DentistryDS020807LPA

General Provider Information

NPI Number : 1801865951
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL COLEMAN ROWLAND D.D.S.
Provider Business Mailing Address
First Line : 1739 W FAIRMONT ST
Second Line :
City : ALLENTOWN
State : PA
Zip : 18104-3189
Country : US
Telephone Number : 610-435-5707
Fax Number : 610-435-5143
Provider Business Practice Location Address
First Line : 1739 W FAIRMONT ST
Second Line :
City : ALLENTOWN
State : PA
Zip : 18104-3189
Country : US
Telephone Number : 610-435-5707
Fax Number : 610-435-5143
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 07/08/2007

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