Individual
DR. JEFFREY F SOWLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
601 EAST MAIN ST, KENDRICK, ID 83537-0160
(208) 289-3221
(208) 289-3721
Mailing address
PO BOX 160, KENDRICK, ID 83537-0160
(208) 289-3221
(208) 289-3721
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
66D1616
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246200
—
ID
05
—
5037569
—
WA
Enumeration date
07/24/2006
Last updated
07/08/2007
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