MEDICARE: DR. EMBREE DOWLING 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	1223P0300X	Periodontics	DN0011963	FL

General Provider Information

NPI Number	:	1669590964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMBREE DOWLING D.M.D.

Provider Business Mailing Address
First Line	:	6150 METROWEST BLVD
Second Line	:	SUITE 301
City	:	ORLANDO
State	:	FL
Zip	:	32835-3289
Country	:	US
Telephone Number	:	407-532-9856
Fax Number	:	407-532-9858

Provider Business Practice Location Address
First Line	:	6150 METROWEST BLVD
Second Line	:	SUITE 301
City	:	ORLANDO
State	:	FL
Zip	:	32835-3289
Country	:	US
Telephone Number	:	407-532-9856
Fax Number	:	407-532-9858

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

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	06/26/2009

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