Provider Demographics
NPI:1366605057
Name:ROWLAND, HA HUYNH (DDS)
Entity type:Individual
Prefix:
First Name:HA
Middle Name:HUYNH
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 NE BEACON AVE
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-8453
Mailing Address - Country:US
Mailing Address - Phone:816-878-2688
Mailing Address - Fax:
Practice Address - Street 1:1125 S 7 HWY
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-3204
Practice Address - Country:US
Practice Address - Phone:816-622-1029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20080155201223G0001X
KS605571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice