MEDICARE: NATALIE MCDOWELL D.M.D.

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	122300000X	Dentist	DN23488	FL
2	1223G0001X	General Practice Dentistry	DN23488	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1	OTHER	FL	AN INDIVIDUAL WHO RENDERS HEALTH CARE SERVICES

General Provider Information

NPI Number	:	1205323888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE MCDOWELL D.M.D.

Provider Business Mailing Address
First Line	:	1511 LEEWARD LANE
Second Line	:
City	:	NEPTUNE BEACH
State	:	FL
Zip	:	32266-3227
Country	:	US
Telephone Number	:	908-309-5424
Fax Number	:

Provider Business Practice Location Address
First Line	:	5753 BEACH BLVD
Second Line	:	STE 4
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207
Country	:	US
Telephone Number	:	908-309-5424
Fax Number	:

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

Provider Enumeration Date	:	04/18/2018
Last Update Date	:	11/30/2023

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