Provider Demographics
NPI:1972754943
Name:LOWRY, HAROLD JACKSON JR (DDS)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:JACKSON
Last Name:LOWRY
Suffix:JR
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:PO BOX 302
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-0302
Mailing Address - Country:US
Mailing Address - Phone:770-336-9872
Mailing Address - Fax:
Practice Address - Street 1:13 N ERWIN ST
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-3121
Practice Address - Country:US
Practice Address - Phone:770-336-9872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN007344122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist