MEDICARE: TERI KEEP DOWNES DDS

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
1	122300000X	Dentist	07643	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	51379	OTHER	IA	DELTA DENTAL

General Provider Information

NPI Number	:	1265507594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERI KEEP DOWNES DDS

Provider Business Mailing Address
First Line	:	2500 MUSCATINE AVE
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-6654
Country	:	US
Telephone Number	:	319-337-4121
Fax Number	:	319-337-4122

Provider Business Practice Location Address
First Line	:	2500 MUSCATINE AVE
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-6654
Country	:	US
Telephone Number	:	319-337-4121
Fax Number	:	319-337-4122

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	07/09/2007

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Directions to “ TERI KEEP DOWNES DDS” Practice Location

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