Provider Demographics
NPI:1255367561
Name:LABOWE, STUART NATHAN (DDS)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:NATHAN
Last Name:LABOWE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 N ROCK BLVD
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-4381
Mailing Address - Country:US
Mailing Address - Phone:775-356-7722
Mailing Address - Fax:775-356-7725
Practice Address - Street 1:627 N ROCK BLVD
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-4381
Practice Address - Country:US
Practice Address - Phone:775-356-7722
Practice Address - Fax:775-356-7725
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV37351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice