Organization
ROGER A. LOWLICHT DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER A LOWLICHT MS,DDS (OWNER)
(203) 234-8888
Entity
Organization
Contact information
Practice address
185 MAPLE AVE, NORTH HAVEN, CT 06473-3324
(203) 234-8888
(203) 234-9489
Mailing address
185 MAPLE AVENUE, NORTH HAVEN, CT 06473
(203) 234-8888
(203) 234-9489
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2063303
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190000607
MEDICARE ID
CT
Enumeration date
01/20/2012
Last updated
01/20/2012
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