Healthcare Provider Details

I. General information

NPI: 1982722385
Provider Name (Legal Business Name): DOWLING AND DOWLING, PA
Entity Type: Organization
Gender:
Sole Proprietor:

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
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberDN0011963
License Number StateFL

VIII. Authorized Official

Name: DR. EMBREE DOWLING
Title or Position: PRESIDENT
Credential: D.M.D.
Phone: 407-532-9856