Organization Active NPI

S. C. Dowell, DDS, LLC

Doing business as Dowell Dental Group

  • General Practice Dentistry
  • Carrollton, OH
National Provider Identifier
1598178741
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19173 Issued in OH
Legal business name
S. C. DOWELL, DDS, LLC
Doing business as
Dowell Dental Group
Practice address
549 2ND St NW
Carrollton, OH 44615-1003
Phone
(330) 627-5005
Fax
(330) 627-5982
NPI assigned
Jun 5, 2014
Last updated
Jun 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephen C. Dowell, D.D.S.NPI 1407852890
Title
President
Phone
(330) 627-5005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19173 OH Primary

Addresses

Primary practice location

549 2ND St NW
Carrollton, OH 44615-1003

Mailing address

615 N Market St
Minerva, OH 44657-1003
Phone (330) 868-5080

Other identifiers 1

IdentifierTypeStateIssuer
0812419MedicaidOH

Other names 1

  • Dowell Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

615 N Market St
Minerva, OH 44657
Phone (330) 868-5080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1598178741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N MARKET ST",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446571003",
            "telephone_number": "330-868-5080",
            "fax_number": "330-868-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 2ND ST NW",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446151003",
            "telephone_number": "330-627-5005",
            "fax_number": "330-627-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. C. DOWELL, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "DOWELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-627-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0812419",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dowell Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.