# COMMONWEALTH FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1821316910
- **Authorized official:** DR. JASON S DOWLEN DMD (OWNER/PRESIDEBT)
- **Authorized official phone:** (606) 783-0182

## Contact information

- **Practice address:** 750 W. MAIN STREET, MOREHEAD, KY 40351
- **Practice address phone:** (606) 783-0182
- **Practice address fax:** (606) 783-0272
- **Mailing address:** 750 W. MAIN STREET, MOREHEAD, KY 40351
- **Mailing address phone:** (606) 783-0182
- **Mailing address fax:** (606) 783-0272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8464 | KY | Yes |

## Other

- **Enumeration date:** 05/13/2010
- **Last updated:** 03/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100009100 | — | KY |
| 05 | — | 7100126130 | — | KY |