Lowry, Marcus
Lowry, Marcus is an sole proprietor health care provider with primary practice located at 2275 S Eagle Rd Ste 100 , Meridian ID 83642-5078. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Lowry, Marcus can be contacted via phone (208) 855-5045.Contact Information
Primary practice address
2275 S Eagle Rd Ste 100
Meridian ID 83642-5078
Phone: (208) 855-5045
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 57194 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D-3908 OR | Idaho |
Profile Details
| NPI number | 1396843058 |
|---|---|
| LBN Legal business name | Lowry, Marcus |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 13th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396843058 | NPPES |
| California | Other | 57194 | CALIFORNIA DENTAL LICENSE NUMBER |
| California | Other | D-3908-OR | CALIFORNIA DENTAL LICENSE NUMBER |
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