Downingddsllc
Organization Active NPI Dentist · Fowler, IN
NPI 1609327105 · NPPES record last updated Oct 19, 2016
Key facts
- NPI
- 1609327105
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 12012300A (IN)
- Legal business name
- DOWNINGDDSLLC
- Practice address
- 809 N Washington Ave
Fowler, IN 47944-1192 - Phone
- (765) 884-0740
- Fax
- (765) 884-9046
- NPI assigned
- Oct 19, 2016
- Organization subpart
- No
Authorized official
- Name
- Timothy Aldrich Downing, D.D.S
- Title
- Dentist/Owner
- Phone
- (765) 884-0740
Practitioners 2
National Provider Directory
Locations
809 N Washington Ave
Fowler, IN 47944
Phone (765) 884-0740
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 12012300A | IN | Yes |
Addresses
Primary practice location
809 N Washington Ave
Fowler, IN 47944-1192
Mailing address
809 N Washington Ave
Fowler, IN 47944-1192
Phone (765) 884-0740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201300230 | Medicaid | IN |
Other names
- Fowler Family Dentistry
Other providers in Fowler, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.