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NPI Code Detail

MEDICARE: DR. BRITTANY E BOWEN DDS

MEDICARE: DR. BRITTANY E BOWEN DDS
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
1122300000XDentist1001119-15WI

General Provider Information

NPI Number : 1043691439
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRITTANY E BOWEN DDS
Provider Business Mailing Address
First Line : 749 UNIVERSITY ROW
Second Line :
City : MADISON
State : WI
Zip : 53705-1465
Country : US
Telephone Number : 608-238-7112
Fax Number :
Provider Business Practice Location Address
First Line : 749 UNIVERSITY ROW
Second Line :
City : MADISON
State : WI
Zip : 53705-1465
Country : US
Telephone Number : 608-238-7112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2015
Last Update Date : 06/11/2015

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Directions to “ DR. BRITTANY E BOWEN DDS” Practice Location

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