| Roger A. Lowlicht Dds,pc | |
|
185 Maple Ave North Haven CT 06473-3324 | |
| (203) 234-8888 | |
| (203) 234-9489 |
| Full Name | Roger A. Lowlicht Dds,pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 185 Maple Ave, North Haven, Connecticut |
| Authorized Official Name and Position | Roger A Lowlicht (OWNER) |
| Authorized Official Contact | 2032348888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger A. Lowlicht Dds,pc 185 Maple Avenue North Haven CT 06473 Ph: (203) 234-8888 | Roger A. Lowlicht Dds,pc 185 Maple Ave North Haven CT 06473-3324 Ph: (203) 234-8888 |
| NPI Number | 1417228503 |
|---|---|
| Provider Enumeration Date | 01/20/2012 |
| Last Update Date | 01/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417228503 | NPI | - | NPPES |
| 190000607 | Other | CT | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2063303 (Connecticut) | Primary |
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