Provider Demographics
NPI:1700241734
Name:R.C. DOWNING DDS PS
Entity Type:Organization
Organization Name:R.C. DOWNING DDS PS
Other - Org Name:CHEHALIS DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-748-1833
Mailing Address - Street 1:PO BOX 985
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-0985
Mailing Address - Country:US
Mailing Address - Phone:360-748-1833
Mailing Address - Fax:360-748-3807
Practice Address - Street 1:68 SW 13TH ST
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-3627
Practice Address - Country:US
Practice Address - Phone:360-748-1833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-17
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00009067122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty