MEDICARE: DR. DAVID MICHAEL DOW II DDS, MS

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	1223E0200X	Endodontics	060337	NY

General Provider Information

NPI Number	:	1366601957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MICHAEL DOW II DDS, MS

Provider Business Mailing Address
First Line	:	6800 PITTSFORD PALMYRA RD STE 110
Second Line	:
City	:	FAIRPORT
State	:	NY
Zip	:	14450-3514
Country	:	US
Telephone Number	:	585-223-5330
Fax Number	:

Provider Business Practice Location Address
First Line	:	6800 PITTSFORD PALMYRA RD STE 110
Second Line	:
City	:	FAIRPORT
State	:	NY
Zip	:	14450-3514
Country	:	US
Telephone Number	:	585-223-5330
Fax Number	:

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

Provider Enumeration Date	:	06/09/2008
Last Update Date	:	12/12/2019

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