Provider Demographics
NPI:1861839540
Name:DOWNER, CRAIG JAMES (DDS)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:JAMES
Last Name:DOWNER
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 1:601 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-1535
Mailing Address - Country:US
Mailing Address - Phone:989-773-7232
Mailing Address - Fax:989-773-5573
Practice Address - Street 1:601 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-1535
Practice Address - Country:US
Practice Address - Phone:989-773-7232
Practice Address - Fax:989-773-5573
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010209251223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health