Provider Demographics
NPI:1669590964
Name:DOWLING, EMBREE (DMD)
Entity type:Individual
Prefix:DR
First Name:EMBREE
Middle Name:
Last Name:DOWLING
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6150 METROWEST BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-3289
Mailing Address - Country:US
Mailing Address - Phone:407-532-9856
Mailing Address - Fax:407-532-9858
Practice Address - Street 1:6150 METROWEST BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3289
Practice Address - Country:US
Practice Address - Phone:407-532-9856
Practice Address - Fax:407-532-9858
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00119631223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics