Provider Demographics
NPI:1629371315
Name:MCDOWELL, GARY (DDS)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:
Last Name:MCDOWELL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1047 OLD YORK RD
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-4617
Mailing Address - Country:US
Mailing Address - Phone:215-885-0555
Mailing Address - Fax:215-885-2075
Practice Address - Street 1:1047 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-4617
Practice Address - Country:US
Practice Address - Phone:215-885-0555
Practice Address - Fax:215-885-2075
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-18
Last Update Date:2010-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-019738-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist