Individual
DR. DWIGHT K. STOWELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
38 EXCHANGE ST, ATHOL, MA 01331-1812
(978) 249-8545
(978) 249-4615
Mailing address
38 EXCHANGE ST, ATHOL, MA 01331-1812
(978) 249-8545
(978) 249-4615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12736
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0245224
—
MA
01
—
042557985
TAX ID FOR 3 PRACTICES
MA
05
—
9745939
—
MA
Enumeration date
01/25/2007
Last updated
07/09/2007
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