Steven Bradley Rowan, D.D.S.
Individual provider Active NPI Dentist · Burlington, KY
NPI 1043766397 · NPPES record last updated Jun 21, 2017
Key facts
- NPI
- 1043766397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 9981 (KY)
- Practice address
- 1820 Florence Pike
Burlington, KY 41005-7933 - Phone
- (859) 586-4975
- NPI assigned
- Aug 28, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9981 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Care of Kentucky - Dr O Craig Shanteau, DDS, PSC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 9981 | KY | Yes |
Addresses
Primary practice location
1820 Florence Pike
Burlington, KY 41005-7933
Mailing address
1820 Florence Pike
Burlington, KY 41005-7933
Other providers in Burlington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.