Provider Demographics
NPI:1528286119
Name:DOWLING, DAVID B (DDS, MS, PC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:DOWLING
Suffix:
Gender:M
Credentials:DDS, MS, PC
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Other - Middle Name:
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Mailing Address - Street 1:1371 BROADY RD
Mailing Address - Street 2:
Mailing Address - City:NESBIT
Mailing Address - State:MS
Mailing Address - Zip Code:38651-9706
Mailing Address - Country:US
Mailing Address - Phone:901-692-8338
Mailing Address - Fax:209-566-2191
Practice Address - Street 1:1371 BROADY RD
Practice Address - Street 2:
Practice Address - City:NESBIT
Practice Address - State:MS
Practice Address - Zip Code:38651-9706
Practice Address - Country:US
Practice Address - Phone:901-692-8338
Practice Address - Fax:209-566-2191
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVS3-229C1223X0400X
NY058394-11223X0400X
PADS0407291223X0400X
MS3723-131223X0400X
TNDS00000097171223X0400X
TX318931223X0400X
MO20160166681223X0400X
IL019-0309401223X0400X
KY98661223X0400X
KS612751223X0400X
IN12012628A1223X0400X
AL6323C1223X0400X
AZ16921223X0400X
AK1161181223X0400X
VA04014151871223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty