Mcdowell, Stacey Marie

Mcdowell, Stacey Marie is an individual health care provider with primary practice located at 865 S Carroll Rd Ste C , Villa Rica GA 30180-7056. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Mcdowell, Stacey Marie can be contacted via phone (770) 459-4131.

Contact Information

Primary practice address
865 S Carroll Rd Ste C Villa Rica GA 30180-7056
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN015411 Georgia
Dental Providers / Dentist 122300000X DN15411 Georgia

Profile Details

NPI number 1669902292
LBN Legal business name Mcdowell, Stacey Marie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2017
Last updated Feb 19th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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