Provider Demographics
NPI:1992872055
Name:SLOWEY, RICHARD JOHN (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JOHN
Last Name:SLOWEY
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 1:12989 CAMINO RAMILLETTE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-1538
Mailing Address - Country:US
Mailing Address - Phone:858-385-1975
Mailing Address - Fax:858-385-1984
Practice Address - Street 1:137 S. LAS POSAS RD
Practice Address - Street 2:SUITE 250
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078
Practice Address - Country:US
Practice Address - Phone:760-752-7000
Practice Address - Fax:858-560-2001
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23791122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist