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NPI Code Detail

MEDICARE: R.C. DOWNING DDS PS

MEDICARE: R.C. DOWNING DDS PS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDE00009067WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DE00009067OTHERWADENTAL LICENSE NUMBER

General Provider Information

NPI Number : 1295233344
Entity Type Code : Organization
Provider Name (Legal Business Name) : R.C. DOWNING DDS PS
Provider Business Mailing Address
First Line : PO BOX 173
Second Line :
City : HOODSPORT
State : WA
Zip : 98548-0173
Country : US
Telephone Number : 360-877-5151
Fax Number :
Provider Business Practice Location Address
First Line : 68 N LAKE CUSHMAN ROAD
Second Line :
City : HOODSPORT
State : WA
Zip : 98548-9854
Country : US
Telephone Number : 360-878-5151
Fax Number : 206-400-5997
Authorized Official
Title or Position : MEMBER
Name : DR. RICHARD C DOWNING
Credential : DDS
Telephone Number : 360-259-1984
Provider Enumeration Date : 01/24/2018
Last Update Date : 08/02/2023

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