Provider Demographics
NPI:1710199377
Name:DOWELL, SCOTT MARSHALL (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:MARSHALL
Last Name:DOWELL
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 BUFFALO GAP RD
Mailing Address - Street 2:SUITE A-3
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-3375
Mailing Address - Country:US
Mailing Address - Phone:325-437-3456
Mailing Address - Fax:325-437-3458
Practice Address - Street 1:4601 BUFFALO GAP RD
Practice Address - Street 2:SUITE A-3
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-3375
Practice Address - Country:US
Practice Address - Phone:325-437-3456
Practice Address - Fax:325-437-3458
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX214181223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics