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NPI Code Detail

MEDICARE: JOHN T BOWMAN DMD,MD

MEDICARE: JOHN T BOWMAN DMD,MD
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
11223S0112XOral and Maxillofacial Surgery (Dentist)063465NY

General Provider Information

NPI Number : 1982672861
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN T BOWMAN DMD,MD
Provider Business Mailing Address
First Line : 451 W CHURCH ST
Second Line :
City : ELMIRA
State : NY
Zip : 14901-2636
Country : US
Telephone Number : 607-733-3760
Fax Number :
Provider Business Practice Location Address
First Line : 451 W CHURCH ST
Second Line :
City : ELMIRA
State : NY
Zip : 14901-2636
Country : US
Telephone Number : 607-733-3760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 06/19/2025

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