Healthcare Provider Details

I. General information

NPI: 1518085810
Provider Name (Legal Business Name): PATTI DOWLING D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 06/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6150 METROWEST BLVD SUITE 301
ORLANDO FL
32835-3289
US

IV. Provider business mailing address

6150 METROWEST BLVD SUITE 301
ORLANDO FL
32835-3289
US

V. Phone/Fax

Practice location:
  • Phone: 407-532-9856
  • Fax: 407-532-9858
Mailing address:
  • Phone: 407-532-9856
  • Fax: 407-532-9858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN0011964
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: