Provider Demographics
NPI:1982799870
Name:DOWD, ALLISON LEA (DDS)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:LEA
Last Name:DOWD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2971 CHAPEL VALLEY RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-7420
Mailing Address - Country:US
Mailing Address - Phone:608-288-1543
Mailing Address - Fax:608-288-0626
Practice Address - Street 1:2971 CHAPEL VALLEY RD
Practice Address - Street 2:SUITE 202
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-7420
Practice Address - Country:US
Practice Address - Phone:608-288-1543
Practice Address - Fax:608-288-0626
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI56321223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI33780600Medicaid