Provider Demographics
NPI:1558797951
Name:DOWNEY, CARA LYNN (RDH)
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:LYNN
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:MISS
Other - First Name:CARA
Other - Middle Name:LYNN
Other - Last Name:THOMASELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:224 VISTA HILLS DR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81503-2949
Mailing Address - Country:US
Mailing Address - Phone:970-245-2330
Mailing Address - Fax:
Practice Address - Street 1:224 VISTA HILLS DR
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81503-2949
Practice Address - Country:US
Practice Address - Phone:970-245-2330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO902822124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist