Provider Demographics
NPI:1184635013
Name:DOWNER, DEAN GREGORY (DDS)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:GREGORY
Last Name:DOWNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 WOLVERINE TRL
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-5656
Mailing Address - Country:US
Mailing Address - Phone:615-355-4848
Mailing Address - Fax:615-355-8655
Practice Address - Street 1:301 WOLVERINE TRL
Practice Address - Street 2:SUITE 102
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-5656
Practice Address - Country:US
Practice Address - Phone:615-355-4848
Practice Address - Fax:615-355-8655
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS7708122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist