1093873127 NPI number — CHRISTINE D DOWLING DDS

Table of content: CHRISTINE D DOWLING DDS (NPI 1093873127)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093873127 NPI number — CHRISTINE D DOWLING DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DOWLING
Provider First Name:
CHRISTINE
Provider Middle Name:
D
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093873127
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/12/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
374 ROUTE 116
Provider Second Line Business Mailing Address:
SOMERS PEDIATRIC DENTISTRY
Provider Business Mailing Address City Name:
SOMERS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10589-2628
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-358-1225
Provider Business Mailing Address Fax Number:
914-358-1227

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
374 ROUTE 116
Provider Second Line Business Practice Location Address:
SOMERS PEDIATRIC DENTISTRY
Provider Business Practice Location Address City Name:
SOMERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10589-2628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-358-1225
Provider Business Practice Location Address Fax Number:
914-358-1227
Provider Enumeration Date:
12/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223P0221X , with the licence number:  9458 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com