Lowe, Ericka Shelly

Lowe, Ericka Shelly is an individual health care provider with primary practice located at 660 Executive Park Ct Ste 1600 , Apopka FL 32703-6080. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is her primary health care specialty. Lowe, Ericka Shelly can be contacted via phone (407) 930-4496.

Contact Information

Primary practice address
660 Executive Park Ct Ste 1600 Apopka FL 32703-6080
Fax: (321) 972-2443
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17256 Florida
Dental Providers / Endodontics 1223E0200X DN17256 Florida

Profile Details

NPI number 1063636710
LBN Legal business name Lowe, Ericka Shelly
Credentials DMD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jul 18th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063636710 NPPES
Florida MEDICAID 076768900
Florida MEDICAID 023026500

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