Provider Demographics
NPI:1346345774
Name:DOWNER, TOMMY DARNELL (DMD)
Entity Type:Individual
Prefix:
First Name:TOMMY
Middle Name:DARNELL
Last Name:DOWNER
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 1:1315 DELAUNAY AVE
Mailing Address - Street 2:201-B
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901
Mailing Address - Country:US
Mailing Address - Phone:706-322-9599
Mailing Address - Fax:706-221-4495
Practice Address - Street 1:1315 DELAUNAY AVE
Practice Address - Street 2:201-B
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901
Practice Address - Country:US
Practice Address - Phone:706-322-9599
Practice Address - Fax:706-221-4495
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0103941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice