Lowry, Tais Trevelin
Lowry, Tais Trevelin is an sole proprietor health care provider with primary practice located at 1800 Lincoln Way , Coeur D Alene ID 83814-2570. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Lowry, Tais Trevelin can be contacted via phone (208) 874-7302.Contact Information
Primary practice address
1800 Lincoln Way
Coeur D Alene ID 83814-2570
Phone: (208) 874-7302
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | D5150 | Idaho |
| Dental Providers / General Practice | 1223G0001X | D-5150 | Idaho |
Profile Details
| NPI number | 1053920934 |
|---|---|
| LBN Legal business name | Lowry, Tais Trevelin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2020 |
| Last updated | Dec 26th, 2023 - 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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