MEDICARE: DR. RICHARD C DOWNING 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	1223G0001X	General Practice Dentistry	DE00009067	WA

General Provider Information

NPI Number	:	1730268509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD C DOWNING DDS

Provider Business Mailing Address
First Line	:	PO BOX 173
Second Line	:
City	:	HOODSPORT
State	:	WA
Zip	:	98548-0173
Country	:	US
Telephone Number	:	360-259-1984
Fax Number	:	360-400-5997

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	08/02/2023

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Practice Location Address:

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