Individual
DR. MICHAEL S NOWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
1609 W MAIN ST, SUITE 204, DOTHAN, AL 36301-1362
(334) 793-9826
(334) 671-2956
Mailing address
1609 W MAIN ST, SUITE 204, DOTHAN, AL 36301-1362
(334) 793-9826
(334) 671-2956
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3613
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23707
BLUE CROSS BLUE SHIELD
AL
01
—
666371
UNITED CONCORDIA
PA
Enumeration date
07/22/2005
Last updated
07/08/2007
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