Individual
DR. DEREK WAYNE LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
570 RIVERSTONE WAY SUITE 1, FAIRBANKS, AK 99709
(907) 455-4350
(907) 455-4370
Mailing address
570 RIVERSTONE WAY SUITE 1, FAIRBANKS, AK 99709
(907) 455-4350
(907) 455-4370
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
115692
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13703838
—
CO
Enumeration date
05/08/2007
Last updated
03/19/2021
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