| Bowen Dental Associates | |
|
319 Main St Clay WV 25043 | |
| (304) 587-7495 | |
| (304) 587-7425 |
| Full Name | Bowen Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 319 Main St, Clay, West Virginia |
| Authorized Official Name and Position | Gary Max Bowen (MEMBER) |
| Authorized Official Contact | 3045877495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowen Dental Associates Po Box 965 Clay WV 25043 Ph: (304) 587-7495 | Bowen Dental Associates 319 Main St Clay WV 25043 Ph: (304) 587-7495 |
| NPI Number | 1497867964 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497867964 | NPI | - | NPPES |
| 3810005399 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | WV3570 (West Virginia) | Primary |
| 1223G0001X | Dentist - General Practice | WV3620 (West Virginia) | Secondary |
John G. Hubbard, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Carr St, Clay, WV 25043 Phone: 304-587-4232 Fax: 304-587-2092 | |
Clay Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Carr St, Clay, WV 25043 Phone: 304-587-4232 Fax: 304-587-2092 |