Provider Demographics
NPI:1730268509
Name:DOWNING, RICHARD C (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:C
Last Name:DOWNING
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:PO BOX 173
Mailing Address - Street 2:
Mailing Address - City:HOODSPORT
Mailing Address - State:WA
Mailing Address - Zip Code:98548-0173
Mailing Address - Country:US
Mailing Address - Phone:360-259-1984
Mailing Address - Fax:360-400-5997
Practice Address - Street 1:68 N LAKE CUSHMAN ROAD
Practice Address - Street 2:
Practice Address - City:HOODSPORT
Practice Address - State:WA
Practice Address - Zip Code:98548-9854
Practice Address - Country:US
Practice Address - Phone:360-878-5151
Practice Address - Fax:206-400-5997
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000090671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice