| Downingddsllc | |
|
809 N Washington Ave Fowler IN 47944-1192 | |
| (765) 884-0740 | |
| (765) 884-9046 |
| Full Name | Downingddsllc |
|---|---|
| Speciality | Dentist |
| Location | 809 N Washington Ave, Fowler, Indiana |
| Authorized Official Name and Position | Timothy Aldrich Downing (DENTIST/OWNER) |
| Authorized Official Contact | 7658840740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downingddsllc 809 N Washington Ave Fowler IN 47944-1192 Ph: (765) 884-0740 | Downingddsllc 809 N Washington Ave Fowler IN 47944-1192 Ph: (765) 884-0740 |
| NPI Number | 1609327105 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609327105 | NPI | - | NPPES |
| 201300230 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12012300A (Indiana) | Primary |
Fowler Family Dentistry, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 N Washington Ave, Fowler, IN 47944 Phone: 765-884-0740 Fax: 765-884-9046 | |
Sheets Family Dentistry, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 S 100 E, Suite B, Fowler, IN 47944 Phone: 765-884-0018 Fax: 765-884-0019 |