Organization
COMMONWEALTH FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON S DOWLEN DMD (OWNER/PRESIDEBT)
(606) 783-0182
Entity
Organization
Contact information
Practice address
750 W. MAIN STREET, MOREHEAD, KY 40351
(606) 783-0182
(606) 783-0272
Mailing address
750 W. MAIN STREET, MOREHEAD, KY 40351
(606) 783-0182
(606) 783-0272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8464
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100009100
—
KY
05
—
7100126130
—
KY
Enumeration date
05/13/2010
Last updated
03/14/2011
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