# LOWERY DENTAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023543188
- **Authorized official:** DR. VASCO A. LOWERY III (OWNER)
- **Authorized official phone:** (706) 886-8472

## Contact information

- **Practice address:** 31 MEMORIAL DR, EASTANOLLEE, GA 30538-3213
- **Practice address phone:** (706) 886-8472
- **Practice address fax:** (706) 886-5664
- **Mailing address:** 31 MEMORIAL DR, EASTANOLLEE, GA 30538-3213
- **Mailing address phone:** (706) 886-8472
- **Mailing address fax:** (706) 886-5664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2017
- **Last updated:** 04/26/2017