Provider Demographics
NPI:1215091236
Name:DOWNIE, JASPER PAUL (DDS)
Entity type:Individual
Prefix:DR
First Name:JASPER
Middle Name:PAUL
Last Name:DOWNIE
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 1:982 KOEHLINGER DR
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:IN
Mailing Address - Zip Code:46774-1712
Mailing Address - Country:US
Mailing Address - Phone:260-749-1940
Mailing Address - Fax:260-749-2791
Practice Address - Street 1:982 KOEHLINGER DR
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:IN
Practice Address - Zip Code:46774-1712
Practice Address - Country:US
Practice Address - Phone:260-749-1940
Practice Address - Fax:260-749-2791
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12007714A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice