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General NPI Number Information
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NPI Number | 1184737108
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Entity Type | Organization
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Legal Business Name | MCDOWELL & FARIS, DMD, LLC
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 W MCDONALD PKWY SUITE 2-D
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City | MAYSVILLE
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State | KY
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Zip | 41056-1164
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Country | US
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Telephone | 606-564-6852
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Fax | 606-564-8119
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Provider Business Mailing Address
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Address Line | 1 W MCDONALD PKWY SUITE 2-D
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City | MAYSVILLE
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State | KY
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Zip | 41056-1164
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Country | US
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Telephone | 606-564-6852
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Fax | 606-564-8119
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Authorized Official
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Title or Position | SENIORPARTNER
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Name | DR. JOHN G MCDOWELL
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Credential | D.M.D.
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Telephone | 606-564-6852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4343
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License Number State | KY
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