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NPI 1083142236

NPI 1083142236 : SHELBY ELIZABETH BOWMAN DDS, MD : SANTA BARBARA, CA

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General NPI Number Information
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    NPI Number           |    1083142236
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    Entity Type          |    Individual 
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    Provider Name        |    SHELBY ELIZABETH BOWMAN DDS, MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/01/2017
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    Last Update Date     |    07/11/2025
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Provider Practice Location Address
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    Address Line         |    38 S LA CUMBRE RD STE 5 
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    City                 |    SANTA BARBARA
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    State                |    CA
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    Zip                  |    93105-6131
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    Country              |    US
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    Telephone            |    805-692-8500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3885 STATE ST APT 323 
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    City                 |    SANTA BARBARA
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    State                |    CA
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    Zip                  |    93105-5642
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    Country              |    US
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    Telephone            |    512-917-4178
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DDS103506
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    DDS103506
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    204E00000X
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    Taxonomy Name        |    Oral & Maxillofacial Surgery (D.M.D.)
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    License Number       |    GA2194
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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