Provider Demographics
NPI:1992825277
Name:DOWNS, CLIFFORD DOUGLAS (DDS)
Entity type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:DOUGLAS
Last Name:DOWNS
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 1:2850 MESA VERDE DR E
Mailing Address - Street 2:SUITE A
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4891
Mailing Address - Country:US
Mailing Address - Phone:714-546-3000
Mailing Address - Fax:714-546-3010
Practice Address - Street 1:2850 MESA VERDE DRIVE EAST
Practice Address - Street 2:SUITE A
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626
Practice Address - Country:US
Practice Address - Phone:714-546-3000
Practice Address - Fax:714-546-3010
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15496122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist