Lowder, Phillip David

Lowder, Phillip David is an individual health care provider with primary practice located at 250 South Skyine Drive Ste 4, Idaho Falls ID 83402. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Lowder, Phillip David can be contacted via phone (208) 524-1404.

Contact Information

Primary practice address
250 South Skyine Drive Ste 4 Idaho Falls ID 83402
Fax: (208) 524-1114
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D3600-OR Idaho
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X S3100 Nevada

Profile Details

NPI number 1902949969
LBN Legal business name Lowder, Phillip David
Credentials D.D.S., M.CL.D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Mar 28th, 2019 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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