Provider Demographics
NPI:1437990934
Name:MCDOWELL, ARENDA SKYEE (RDH)
Entity type:Individual
Prefix:
First Name:ARENDA
Middle Name:SKYEE
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:ARENDA
Other - Middle Name:S
Other - Last Name:MCDOWELL-WOOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDH
Mailing Address - Street 1:14652 ROCKBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-3125
Mailing Address - Country:US
Mailing Address - Phone:785-215-1902
Mailing Address - Fax:
Practice Address - Street 1:14652 ROCKBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-3125
Practice Address - Country:US
Practice Address - Phone:785-215-1902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK170114124Q00000X
TN8680124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist