Provider Demographics
NPI:1295028488
Name:DOWNEY, MATTHEW WESTCOTT (DMD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:WESTCOTT
Last Name:DOWNEY
Suffix:
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 1:6 LAMBERT ST
Mailing Address - Street 2:
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-3509
Mailing Address - Country:US
Mailing Address - Phone:401-789-7200
Mailing Address - Fax:401-789-7205
Practice Address - Street 1:6 LAMBERT ST
Practice Address - Street 2:
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-3509
Practice Address - Country:US
Practice Address - Phone:401-789-7200
Practice Address - Fax:401-789-7205
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-19
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN031161223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIMD8555Medicaid