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NPI Code Detail

MEDICARE: MICHAEL C BOWMAN D.D.S.

MEDICARE:   MICHAEL C 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
11223G0001XGeneral Practice Dentistry2258MT

General Provider Information

NPI Number : 1184815904
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL C BOWMAN D.D.S.
Provider Business Mailing Address
First Line : 22 2ND AVE W
Second Line : SUITE 3000
City : KALISPELL
State : MT
Zip : 59901-4466
Country : US
Telephone Number : 406-752-8888
Fax Number :
Provider Business Practice Location Address
First Line : 22 2ND AVE W
Second Line : SUITE 3000
City : KALISPELL
State : MT
Zip : 59901-4466
Country : US
Telephone Number : 406-752-8888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2007
Last Update Date : 08/06/2007

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Directions to “ MICHAEL C BOWMAN D.D.S.” Practice Location

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