Individual
DR. JEFFREY B LOWENGUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
277 W MAIN ST, VICTOR, NY 14564-1123
(585) 924-3240
(585) 924-7768
Mailing address
277 W MAIN ST, VICTOR, NY 14564-1019
(585) 924-3240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0453821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71131VD
EXCELLUS BLUE CROSS BLUE SHIELD ROCHESTER, NY
NY
Enumeration date
09/27/2006
Last updated
12/06/2012
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