Healthcare Provider Details

I. General information

NPI: 1093447724
Provider Name (Legal Business Name): ADAM ALEXANDER BOWERS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5832 FAYETTEVILLE RD STE 101
DURHAM NC
27713-6291
US

IV. Provider business mailing address

5832 FAYETTEVILLE RD STE 101
DURHAM NC
27713-6291
US

V. Phone/Fax

Practice location:
  • Phone: 252-908-4805
  • Fax:
Mailing address:
  • Phone: 252-908-4805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number112841
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: