Jay E. Cowan, D.d.s. Professional Services Corporation
NPI #1134386386 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1134386386
- Entity Type
- Organization
- Organization Name
- Jay E. Cowan, D.d.s. Professional Services Corporation
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- May 16, 2008
- Last Updated
- Dec 3, 2019
Practice Location
- Address
- 9602 E WASHINGTON ST
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46229-4504
- Phone
- (317) 536-0748
Authorized Official
- Name
- JAY E. COWAN, D.D.S.
- Title
- OWNER/SURGEON
- Phone
- (317) 536-0748
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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| Samuel Albert Tancredi, D.D.S. |
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