Provider Demographics
NPI:1366761207
Name:LOWRY, JONATHAN LEWIS (DDS)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:LEWIS
Last Name:LOWRY
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 1:905 OAKLAND ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3651
Mailing Address - Country:US
Mailing Address - Phone:828-693-6465
Mailing Address - Fax:828-693-0978
Practice Address - Street 1:905 OAKLAND ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3651
Practice Address - Country:US
Practice Address - Phone:828-693-6465
Practice Address - Fax:828-693-0978
Is Sole Proprietor?:No
Enumeration Date:2010-05-17
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC89361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice