Individual
DR. GLENN D YOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2109 ROCHESTER AVE, IOWA CITY, IA 52245-3528
(319) 338-0707
(319) 337-4985
Mailing address
2109 ROCHESTER AVE, IOWA CITY, IA 52245-3528
(319) 338-0707
(319) 337-4985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08017
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264655
—
IA
01
—
48911
BC/BS, DELTA DENTAL
IA
Enumeration date
04/05/2006
Last updated
07/09/2007
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