IndividualActive
Phillip Lowder, D.D.S., M.CL.D
NPI 1902949969 · Orthodontics and Dentofacial Orthopedics Dentistry · Idaho Falls, ID
Provider details
- NPI number
- 1902949969
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S., M.CL.D
- Sex
- Male
- Sole proprietor
- No
- License
- S3100 (NV)
Practice location
250 South Skyine Drive
Ste 4
Idaho Falls, ID 83402
Phone: (208) 524-1404
Fax: (208) 524-1114
Mailing address
1002 Shell Flower Rd
Henderson, NV 89074-8049
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2019-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.