Provider Demographics
NPI:1386759744
Name:MCQUARRIE, ROWAN P (DDS)
Entity type:Individual
Prefix:
First Name:ROWAN
Middle Name:P
Last Name:MCQUARRIE
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 1:1201 LANDONS WAY
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-1346
Mailing Address - Country:US
Mailing Address - Phone:406-251-4025
Mailing Address - Fax:
Practice Address - Street 1:2901 BROOKS ST
Practice Address - Street 2:SOUTHGATE MALL
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-7722
Practice Address - Country:US
Practice Address - Phone:406-541-2886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2187122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist