Provider Demographics
NPI:1437461183
Name:LOWRANCE, KASEY (DMD)
Entity type:Individual
Prefix:DR
First Name:KASEY
Middle Name:
Last Name:LOWRANCE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15004 AVERY RANCH BLVD, BUILDING B, SUITE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-3960
Mailing Address - Country:US
Mailing Address - Phone:512-866-3800
Mailing Address - Fax:
Practice Address - Street 1:15004 AVERY RANCH BLVD, BUILDING B, SUITE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-3960
Practice Address - Country:US
Practice Address - Phone:512-866-3800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-10
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX265321223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice