Provider Demographics
NPI:1508990268
Name:DOWDY, HUGH T (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:T
Last Name:DOWDY
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 1:120 W ARBOR LN
Mailing Address - Street 2:P. O. BOX 608
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27289-0608
Mailing Address - Country:US
Mailing Address - Phone:336-623-4360
Mailing Address - Fax:336-623-1640
Practice Address - Street 1:120 W ARBOR LN
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5306
Practice Address - Country:US
Practice Address - Phone:336-623-4360
Practice Address - Fax:336-623-1640
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC65001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8990033Medicaid
NC90033OtherBLUE CROSS BLUE SHIELD
NC90033OtherBLUE CROSS BLUE SHIELD