Provider Demographics
NPI:1558450882
Name:DOWNS, DANIEL A (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:A
Last Name:DOWNS
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 1:1842 E BASELINE RD
Mailing Address - Street 2:STE B1
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-1514
Mailing Address - Country:US
Mailing Address - Phone:480-820-1400
Mailing Address - Fax:480-820-1405
Practice Address - Street 1:1842 E BASELINE RD
Practice Address - Street 2:STE B1
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1514
Practice Address - Country:US
Practice Address - Phone:480-820-1400
Practice Address - Fax:480-820-1405
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD54741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice