Provider Demographics
NPI:1295833986
Name:TOWNSEND, DAVID B (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:TOWNSEND
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:PO BOX 39
Mailing Address - Street 2:238 FRONT STREET - SCENIC BLUFFS HEALTH CENTER
Mailing Address - City:CASHION
Mailing Address - State:WI
Mailing Address - Zip Code:54619
Mailing Address - Country:US
Mailing Address - Phone:608-654-5100
Mailing Address - Fax:608-654-5120
Practice Address - Street 1:238 FRONT STREET
Practice Address - Street 2:SCENIC BLUFFS HEALTH CENTER
Practice Address - City:CASHION
Practice Address - State:WI
Practice Address - Zip Code:54619
Practice Address - Country:US
Practice Address - Phone:608-654-5100
Practice Address - Fax:608-654-5120
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX168791223G0001X
WI6165-0151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice