Active NPI
Roger a. Lowlicht DDS,PC
- Oral and Maxillofacial Surgery (Dentist)
- North Haven, CT
National Provider Identifier
1417228503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2063303
- Legal business name
- ROGER A. LOWLICHT DDS,PC
- Practice address
- 185 Maple Ave
North Haven, CT 06473-3324 - Phone
- (203) 234-8888
- Fax
- (203) 234-9489
- NPI assigned
- Jan 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roger A Lowlicht, MS,DDS
- Title
- Owner
- Phone
- (203) 234-8888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2063303 | CT | Primary |
Addresses
Primary practice location
185 Maple Ave
North Haven, CT 06473-3324
Mailing address
185 Maple Avenue
North Haven, CT 06473
Phone (203) 234-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190000607 | Other | CT | MEDICARE ID |
National Provider Directory
National Provider DirectoryLocations
19 Laurel St
Branford, CT 06405
Phone (203) 234-8888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327017600000",
"number": "1417228503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 MAPLE AVENUE",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "06473",
"telephone_number": "203-234-8888",
"fax_number": "203-234-9489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 MAPLE AVE",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064733324",
"telephone_number": "203-234-8888",
"fax_number": "203-234-9489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGER A. LOWLICHT DDS,PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-20",
"last_updated": "2012-01-20",
"status": "A",
"authorized_official_last_name": "LOWLICHT",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-234-8888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MS,DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CT",
"license": "2063303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "190000607",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.