Provider Demographics
NPI:1558564450
Name:DAWN M. GAFFNEY, DDS, LLC
Entity Type:Organization
Organization Name:DAWN M. GAFFNEY, DDS, LLC
Other - Org Name:DOWNTOWN DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GAFFNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:319-895-8322
Mailing Address - Street 1:801 HIGHWAY 30 W
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:IA
Mailing Address - Zip Code:52314-9518
Mailing Address - Country:US
Mailing Address - Phone:319-895-8322
Mailing Address - Fax:319-895-8109
Practice Address - Street 1:801 HWY 30 W
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IA
Practice Address - Zip Code:52314-0202
Practice Address - Country:US
Practice Address - Phone:319-895-8322
Practice Address - Fax:319-895-8109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty