MEDICARE: CHRISTINE D DOWLING DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	9458	CT

General Provider Information

NPI Number	:	1093873127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE D DOWLING DDS

Provider Business Mailing Address
First Line	:	374 ROUTE 116
Second Line	:	SOMERS PEDIATRIC DENTISTRY
City	:	SOMERS
State	:	NY
Zip	:	10589-2628
Country	:	US
Telephone Number	:	914-358-1225
Fax Number	:	914-358-1227

Provider Business Practice Location Address
First Line	:	374 ROUTE 116
Second Line	:	SOMERS PEDIATRIC DENTISTRY
City	:	SOMERS
State	:	NY
Zip	:	10589-2628
Country	:	US
Telephone Number	:	914-358-1225
Fax Number	:	914-358-1227

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	08/12/2015

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