Provider Demographics
NPI:1457941106
Name:SMITH-DOW, FLESHIA MARIE (IPDH)
Entity Type:Individual
Prefix:
First Name:FLESHIA
Middle Name:MARIE
Last Name:SMITH-DOW
Suffix:
Gender:F
Credentials:IPDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60-D MAIN ROAD NORTH
Mailing Address - Street 2:
Mailing Address - City:HAMPDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04444
Mailing Address - Country:US
Mailing Address - Phone:207-991-2233
Mailing Address - Fax:
Practice Address - Street 1:60-D MAIN ROAD NORTH
Practice Address - Street 2:
Practice Address - City:HAMPDEN
Practice Address - State:ME
Practice Address - Zip Code:04444-0444
Practice Address - Country:US
Practice Address - Phone:207-991-2233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2781124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist