Healthcare Provider Details

I. General information

NPI: 1386500098
Provider Name (Legal Business Name): DR. GERALD ARLEN DOWNING JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 GEORGIA ST
VALLEJO CA
94590-6004
US

IV. Provider business mailing address

212 WILSHIRE AVE
VALLEJO CA
94591-7939
US

V. Phone/Fax

Practice location:
  • Phone: 707-556-8100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDDS112191
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: