Provider Demographics
NPI:1285637280
Name:SOWERS, STEVEN E (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:E
Last Name:SOWERS
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 1:2660 ELECTRIC RD
Mailing Address - Street 2:STE A
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-3530
Mailing Address - Country:US
Mailing Address - Phone:540-774-8288
Mailing Address - Fax:540-774-0566
Practice Address - Street 1:2660 ELECTRIC RD
Practice Address - Street 2:SUITE A
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3511
Practice Address - Country:US
Practice Address - Phone:540-774-8288
Practice Address - Fax:540-774-0566
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2016-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401-0060791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice