Provider Demographics
NPI:1063798759
Name:ARLEN R COWLES DDS PA
Entity type:Organization
Organization Name:ARLEN R COWLES DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARLEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:COWLES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-539-7759
Mailing Address - Street 1:3208 LONG PRAIRIE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-2718
Mailing Address - Country:US
Mailing Address - Phone:972-539-7759
Mailing Address - Fax:972-539-4310
Practice Address - Street 1:3208 LONG PRAIRIE RD
Practice Address - Street 2:SUITE A
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-2718
Practice Address - Country:US
Practice Address - Phone:972-539-7759
Practice Address - Fax:972-539-4310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX148461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty