Provider Demographics
NPI:1942375027
Name:MCDOWELL, DANIEL H (DDS)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:H
Last Name:MCDOWELL
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 1:6432 TUPELO DR
Mailing Address - Street 2:C 3
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95621
Mailing Address - Country:US
Mailing Address - Phone:916-722-9400
Mailing Address - Fax:916-722-9845
Practice Address - Street 1:6432 TUPELO DR
Practice Address - Street 2:C 3
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95621
Practice Address - Country:US
Practice Address - Phone:916-722-9400
Practice Address - Fax:916-722-9845
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADG032134122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist