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General NPI Number Information
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NPI Number | 1972494680
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Entity Type | Organization
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Legal Business Name | BOWMAN, DDS, MD, INC
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Dates
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Enumeration Date | 07/11/2025
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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 |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHELBY BOWMAN
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Credential | DDS, MD
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Telephone | 512-917-4178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State |
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