Provider Demographics
NPI:1437164506
Name:DRS. DOWNEY & GANTZ DDS PC
Entity Type:Organization
Organization Name:DRS. DOWNEY & GANTZ DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:DOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:641-752-2752
Mailing Address - Street 1:201 NICHOLAS DR
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-4441
Mailing Address - Country:US
Mailing Address - Phone:641-752-2752
Mailing Address - Fax:641-753-7981
Practice Address - Street 1:201 NICHOLAS DR
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-4441
Practice Address - Country:US
Practice Address - Phone:641-752-2752
Practice Address - Fax:641-753-7981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty