Organization
DOWNINGDDSLLC
Active
Other names
Fowler Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ALDRICH DOWNING D.D.S (DENTIST/OWNER)
(765) 884-0740
Entity
Organization
Contact information
Practice address
809 N WASHINGTON AVE, FOWLER, IN 47944-1192
(765) 884-0740
(765) 884-9046
Mailing address
809 N WASHINGTON AVE, FOWLER, IN 47944-1192
(765) 884-0740
(765) 884-9046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012300A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201300230
—
IN
Enumeration date
10/19/2016
Last updated
10/19/2016
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