Provider Demographics
NPI:1588652473
Name:DOWN, WILLIAM FREDERICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FREDERICK
Last Name:DOWN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:134 WOODHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:SCOTIA
Mailing Address - State:NY
Mailing Address - Zip Code:12302-4818
Mailing Address - Country:US
Mailing Address - Phone:518-339-6130
Mailing Address - Fax:518-399-4825
Practice Address - Street 1:615 UNION ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12305-1502
Practice Address - Country:US
Practice Address - Phone:518-339-6130
Practice Address - Fax:518-399-4825
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0383761223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00882504Medicaid