Provider Demographics
NPI:1902935059
Name:DOWNS, AIYASHA (DDS)
Entity Type:Individual
Prefix:DR
First Name:AIYASHA
Middle Name:
Last Name:DOWNS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3655 41ST ST NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-6886
Mailing Address - Country:US
Mailing Address - Phone:507-202-2964
Mailing Address - Fax:
Practice Address - Street 1:CHATFIELD DENTAL CENTER
Practice Address - Street 2:226 MAIN STREET SOUTH
Practice Address - City:CHATFIELD
Practice Address - State:MN
Practice Address - Zip Code:55923-1225
Practice Address - Country:US
Practice Address - Phone:507-867-3550
Practice Address - Fax:507-867-9790
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND123571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice