MEDICARE: DR. CURTIS J BOWMAN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	147	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710978432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURTIS J BOWMAN D.D.S.

Provider Business Mailing Address
First Line	:	PO BOX 108818
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73101-8818
Country	:	US
Telephone Number	:	405-848-7974
Fax Number	:	405-848-0033

Provider Business Practice Location Address
First Line	:	604 S JEFFERSON ST
Second Line	:
City	:	ENID
State	:	OK
Zip	:	73701-5529
Country	:	US
Telephone Number	:	580-242-2800
Fax Number	:	580-242-2801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	08/21/2024

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