| Bowman Dental Group | |
|
741 W State St Ste. 1 O Fallon IL 62269-1971 | |
| (618) 632-2282 | |
| Not Available |
| Full Name | Bowman Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 741 W State St, O Fallon, Illinois |
| Authorized Official Name and Position | Tonya L. Bowman (PRESIDENT) |
| Authorized Official Contact | 6186322282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowman Dental Group 741 W State St Ste. 1 O Fallon IL 62269-1971 Ph: (618) 632-2282 | Bowman Dental Group 741 W State St Ste. 1 O Fallon IL 62269-1971 Ph: (618) 632-2282 |
| NPI Number | 1427102615 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427102615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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