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NPI Code Detail

MEDICARE: WHITNEY LEE DOWNS DMD

MEDICARE: WHITNEY LEE DOWNS DMD
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
1122300000XDentistD009716AZ

General Provider Information

NPI Number : 1902334378
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY LEE DOWNS DMD
Provider Business Mailing Address
First Line : 2734 E HARMONY AVE
Second Line :
City : MESA
State : AZ
Zip : 85204-6255
Country : US
Telephone Number : 480-216-2668
Fax Number :
Provider Business Practice Location Address
First Line : 3440 E BASELINE RD STE 106
Second Line :
City : MESA
State : AZ
Zip : 85204-7247
Country : US
Telephone Number : 480-926-2350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2017
Last Update Date : 05/30/2017

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Directions to “ WHITNEY LEE DOWNS DMD” Practice Location

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