Organization
MARK R COWAN DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R COWAN DMD (DENTIST)
(336) 249-2906
Entity
Organization
Contact information
Practice address
227 N TALBERT BLVD, LEXINGTON, NC 27292
(336) 249-2906
(336) 249-7988
Mailing address
227 N TALBERT BLVD PO BOX 1107, LEXINGTON, NC 27292
(336) 249-2906
(336) 249-7988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NC2544
NC
122300000X
Dentist
NC6426
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016G9
BCBS
NC
01
—
900 2V
BCBS
NC
Enumeration date
11/21/2006
Last updated
08/22/2020
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