MEDICARE: JODI DOWEDITE

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	124Q00000X	Dental Hygienist	2902014165	MI

General Provider Information

NPI Number	:	1366391542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODI DOWEDITE

Provider Business Mailing Address
First Line	:	120 N WASHINGTON SQ STE 300
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48933-1617
Country	:	US
Telephone Number	:	888-964-6681
Fax Number	:	888-662-0859

Provider Business Practice Location Address
First Line	:	120 N WASHINGTON SQ STE 300
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48933-1617
Country	:	US
Telephone Number	:	888-964-6681
Fax Number	:	888-662-0859

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

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “ JODI DOWEDITE ” Practice Location

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