# MCDOWELL & CO., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154029114
- **Authorized official:** STACEY MCDOWELL DMD (OWNER DENTIST)
- **Authorized official phone:** (404) 884-9195

## Contact information

- **Practice address:** 865 S CARROLL RD STE C, VILLA RICA, GA 30180-7056
- **Practice address phone:** (770) 459-4131
- **Mailing address:** 146 CREEKRISE PL, PALMETTO, GA 30268-2096
- **Mailing address phone:** (404) 884-9195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2023
- **Last updated:** 03/10/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DN15411 | GA DENTAL LICENSE | GA |