Provider Demographics
NPI:1447934559
Name:DOWNEY, TOMMY ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:TOMMY
Middle Name:ANN
Last Name:DOWNEY
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 1:3203 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-2701
Mailing Address - Country:US
Mailing Address - Phone:785-332-6023
Mailing Address - Fax:
Practice Address - Street 1:1055 W 56TH ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-8511
Practice Address - Country:US
Practice Address - Phone:308-371-3164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7918122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist