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Thomas Keith Rowell, DMD

Dentist, General Practice in Crestview, FL. Individual provider (NPI-1).

NPI number1164081287
StatusActive
Last updated in NPPESApr 6, 2021

Details

NPI
1164081287
Entity type
Individual (NPI-1)
Name
Thomas Keith Rowell
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 12, 2019
Certification date
Apr 6, 2021
Last updated
Apr 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN24286FLYes

Practice location

838 W James Lee Blvd
Crestview, FL 32536-5166

Phone 850-689-1858 · Fax 850-682-2713

Mailing address

838 W James Lee Blvd
Crestview, FL 32536-5166

Phone 850-689-1858

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Other General Practice Dentistry providers in Crestview, FL

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