| Stephen C. Dowell Dds, Inc. | |
|
817 E Lincolnway Minerva OH 44657-1211 | |
| (330) 868-5001 | |
| Not Available |
| Full Name | Stephen C. Dowell Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 817 E Lincolnway, Minerva, Ohio |
| Authorized Official Name and Position | Stephen C. Dowell (PRESIDENT) |
| Authorized Official Contact | 3308685001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen C. Dowell Dds, Inc. 817 E Lincolnway Minerva OH 44657-1211 Ph: (330) 868-5001 | Stephen C. Dowell Dds, Inc. 817 E Lincolnway Minerva OH 44657-1211 Ph: (330) 868-5001 |
| NPI Number | 1881920445 |
|---|---|
| Provider Enumeration Date | 11/02/2009 |
| Last Update Date | 11/02/2009 |
| Medicare PECOS PAC ID | 8527366285 |
|---|---|
| Medicare Enrollment ID | O20160412002884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881920445 | NPI | - | NPPES |
| 0812419 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19173 (Ohio) | Primary |
| Provider Name | Stephen C Dowell |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1407852890 PECOS PAC ID: 3173520970 Enrollment ID: I20061108000172 |
| Provider Name | Byron Rossi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588716310 PECOS PAC ID: 0840598579 Enrollment ID: I20160413002414 |
| Provider Name | Somonkul Tum |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639501117 PECOS PAC ID: 5597063941 Enrollment ID: I20160418002469 |