Provider Demographics
NPI:1417565136
Name:DOWLING, SOPHIA MARIA ALONSO (DDS)
Entity Type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:MARIA ALONSO
Last Name:DOWLING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12060 115 RD
Mailing Address - Street 2:
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-6789
Mailing Address - Country:US
Mailing Address - Phone:785-341-7039
Mailing Address - Fax:
Practice Address - Street 1:2300 N 14TH AVE STE 202
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-2367
Practice Address - Country:US
Practice Address - Phone:660-225-2650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS61631122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist