| Jon Bowie, D. M. D., P. C. | |
|
4728 Airport Blvd Suite A Mobile AL 36608-3170 | |
| (251) 343-1794 | |
| Not Available |
| Full Name | Jon Bowie, D. M. D., P. C. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4728 Airport Blvd, Mobile, Alabama |
| Authorized Official Name and Position | Jon Nathan Bowie (OWNER/DENTIST) |
| Authorized Official Contact | 2513431794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Bowie, D. M. D., P. C. 4728 Airport Blvd Suite A Mobile AL 36608-3170 Ph: (251) 343-1794 | Jon Bowie, D. M. D., P. C. 4728 Airport Blvd Suite A Mobile AL 36608-3170 Ph: (251) 343-1794 |
| NPI Number | 1891809919 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 02/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891809919 | NPI | - | NPPES |
| 009985270 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4905 (Alabama) | Primary |
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