Provider Demographics
NPI:1477648905
Name:DOWDY, HUGH COLEMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:COLEMAN
Last Name:DOWDY
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 1:700 S. SYCAMORE ST
Mailing Address - Street 2:17
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23803-5802
Mailing Address - Country:US
Mailing Address - Phone:804-861-2571
Mailing Address - Fax:804-861-3078
Practice Address - Street 1:700 S. SYCAMORE ST
Practice Address - Street 2:17
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-5802
Practice Address - Country:US
Practice Address - Phone:804-861-2571
Practice Address - Fax:804-861-3078
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010038341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice