Provider Demographics
NPI:1285769976
Name:O'DOWD, LESLIE MARIE (DDS)
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:MARIE
Last Name:O'DOWD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7550 MISSION HILLS DR.
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119
Mailing Address - Country:US
Mailing Address - Phone:239-348-8370
Mailing Address - Fax:239-529-5673
Practice Address - Street 1:7550 MISSION HILLS DR.
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119
Practice Address - Country:US
Practice Address - Phone:239-348-8370
Practice Address - Fax:239-529-5673
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADSO350581223G0001X
FLDN273971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001917763Medicaid