# DOWELL FAMILY DENTISTRY, PSC

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

## Provider details

- **NPI number:** 1790078905
- **Authorized official:** DR. STEPHANIE JO DOWELL D.M.D. (PRESIDENT)
- **Authorized official phone:** (606) 877-1466

## Contact information

- **Practice address:** 615 MEYERS BAKER RD, LONDON, KY 40741-3006
- **Practice address phone:** (606) 877-1466
- **Practice address fax:** (606) 878-2113
- **Mailing address:** PO BOX 3320, LONDON, KY 40743-3320
- **Mailing address phone:** (606) 877-1466
- **Mailing address fax:** (606) 878-2113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8095 | KY | Yes |
| 1223G0001X | General Practice Dentistry | 8230 | KY | — |

## Other

- **Enumeration date:** 05/20/2011
- **Last updated:** 05/20/2011