Provider Demographics
NPI:1649360926
Name:DOWDY, ERNEST E JR (DDS)
Entity type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:E
Last Name:DOWDY
Suffix:JR
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 1:3506 MEDICAL DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-6516
Mailing Address - Country:US
Mailing Address - Phone:803-799-5700
Mailing Address - Fax:803-799-5702
Practice Address - Street 1:3506 MEDICAL DR
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6516
Practice Address - Country:US
Practice Address - Phone:803-799-5700
Practice Address - Fax:803-799-5702
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC34251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCZA9854Medicaid