Provider Demographics
NPI:1083607006
Name:TOWNSEND, DONALD D JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:D
Last Name:TOWNSEND
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 BAILEY HILL RD
Mailing Address - Street 2:STE D
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-5003
Mailing Address - Country:US
Mailing Address - Phone:541-484-1581
Mailing Address - Fax:541-431-4306
Practice Address - Street 1:2101 BAILEY HILL RD
Practice Address - Street 2:STE D
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-5003
Practice Address - Country:US
Practice Address - Phone:541-484-1581
Practice Address - Fax:541-431-4306
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4563122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR171868Medicaid