Provider Demographics
NPI:1215947742
Name:BROWDER, ROWLAND LYNN (DDS)
Entity type:Individual
Prefix:DR
First Name:ROWLAND
Middle Name:LYNN
Last Name:BROWDER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9921 LAKE OCCOQUAN DR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20111-2656
Mailing Address - Country:US
Mailing Address - Phone:703-368-7796
Mailing Address - Fax:
Practice Address - Street 1:9921 LAKE OCCOQUAN DR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20111-2656
Practice Address - Country:US
Practice Address - Phone:703-368-7796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401005628122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist