| Nelson Lowe, D.d.s., Incorporated | |
|
999 N Tustin Ave Suite 117 Santa Ana CA 92705-3528 | |
| (714) 550-7474 | |
| Not Available |
| Full Name | Nelson Lowe, D.d.s., Incorporated |
|---|---|
| Speciality | Dentist |
| Location | 999 N Tustin Ave, Santa Ana, California |
| Authorized Official Name and Position | Nelson Lowe (PRESIDENT) |
| Authorized Official Contact | 7145507474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nelson Lowe, D.d.s., Incorporated 17602 17th St 102-258 Tustin CA 92780-1961 Ph: (714) 550-7474 | Nelson Lowe, D.d.s., Incorporated 999 N Tustin Ave Suite 117 Santa Ana CA 92705-3528 Ph: (714) 550-7474 |
| NPI Number | 1326197229 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 03/07/2008 |
| Medicare PECOS PAC ID | 0446330773 |
|---|---|
| Medicare Enrollment ID | O20071227000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326197229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 36399 (California) | Primary |
| Provider Name | Nelson Lowe |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710985031 PECOS PAC ID: 8527038264 Enrollment ID: I20040729000432 |
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