Dr Dan O Bowlin, DDS is a
Dentist - General Practice based in Tamms, Illinois. Dr Dan O Bowlin is licensed to practice in Illinois (license number 019015264) and his current practice location is
405 2nd St, Tamms, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 747-2391.
NPI number for Dr Dan O Bowlin is 1164410312 and his current mailing address is 13245 Kessler Rd, Cairo, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164410312.
Healthcare Provider's Profile
| Full Name | Dr Dan O Bowlin |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 405 2nd St, Tamms, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164410312
- Provider Enumeration Date: 10/12/2005
- Last Update Date: 12/07/2009
Medical Identifiers
Medical identifiers for Dr Dan O Bowlin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164410312 | NPI | - | NPPES |
| 019015264 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 019015264 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dan O Bowlin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Dan O Bowlin, DDS
13245 Kessler Rd,
Cairo, IL 62914-3101
Ph: (618) 734-4400 | Dr Dan O Bowlin, DDS
405 2nd St,
Tamms, IL 62988
Ph: (618) 747-2391 |
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