Provider Demographics
NPI:1730397415
Name:DOWLEN, JASON SCOTT (PHARMD, DMD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:SCOTT
Last Name:DOWLEN
Suffix:
Gender:M
Credentials:PHARMD, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 SOUTHBROOK DR
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-2968
Mailing Address - Country:US
Mailing Address - Phone:859-539-4891
Mailing Address - Fax:
Practice Address - Street 1:214 MOORELAND AVE
Practice Address - Street 2:
Practice Address - City:HARRODSBURG
Practice Address - State:KY
Practice Address - Zip Code:40330-1836
Practice Address - Country:US
Practice Address - Phone:859-734-5476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY025314183500000X
KY8464122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100009100Medicaid