Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 15580 | MA |
NPI | 1013138379 |
---|---|
Provider Name | Dr. Dennis Joseph Dowd |
First Address | Worcester, MA 01602-1266 |
Second Address | Worcester, MA 01602-1266 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |