Provider Demographics
NPI:1023687944
Name:DOWNING, AMBER (DMD)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:
Last Name:DOWNING
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15720 E BROKEN BIT RD
Mailing Address - Street 2:
Mailing Address - City:MAYER
Mailing Address - State:AZ
Mailing Address - Zip Code:86333-5945
Mailing Address - Country:US
Mailing Address - Phone:206-612-1263
Mailing Address - Fax:
Practice Address - Street 1:7584 E STATE ROUTE 69
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-2278
Practice Address - Country:US
Practice Address - Phone:928-499-3061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0110721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice