Organization
CLARK A DOWNEY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK A DOWNEY DDS (OWNER/DENTIST)
(765) 966-4000
Entity
Organization
Contact information
Practice address
3746 NATIONAL RD E, RICHMOND, IN 47374-3643
(765) 966-4000
(765) 962-6495
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(866) 273-8204
(866) 803-4943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011332A
IN
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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