Harrison Wallace Jow, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110632 Issued in CA

Practice address

220 Towne Centre Dr
Lathrop, CA 95330-9382

Phone

(209) 330-3600

NPI assigned

Nov 19, 2024

Last updated

May 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1942025580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 TOWNE CENTRE DR",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953309382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 TOWNE CENTRE DR",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953309382",
            "telephone_number": "209-330-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOW",
        "first_name": "HARRISON",
        "middle_name": "WALLACE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-19",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Lathrop, CA
• Providers in Lathrop, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.