Individual provider · Type 1 NPI

Phillip David Lowder, DDS, M.CL.D

Orthodontics and Dentofacial Orthopedics Dentistry · Idaho Falls, ID

NPI number 1902949969 Active

Practice location

250 South Skyine Drive, Ste 4
Idaho Falls, ID 83402

Call (208) 524-1404 Map

Fax (208) 524-1114

Mailing address

1002 Shell Flower Rd
Henderson, NV 89074-8049

Other practice locations

  • 197 Stockham Blvd Ste A, Rigby, ID 83442-1275 · (208) 745-7404
  • 1069 Summers Dr, Rexburg, ID 83440-5335 · (208) 356-8708

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XS3100 (NV)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD3600-OR (ID)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1902949969

Phillip David Lowder, DDS, M.CL.D's National Provider Identifier is 1902949969, issued on Feb 15, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 28, 2019.