# THOMAS L. BOWERS, IV, D.M.D., M.D., PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699072827
- **Authorized official:** DR. THOMAS L. BOWERS IV D.M.D., M.D. (PRESIDENT)
- **Authorized official phone:** (352) 735-5400

## Contact information

- **Practice address:** 2023 W OLD US HIGHWAY 441, MOUNT DORA, FL 32757-3626
- **Practice address phone:** (352) 735-5400
- **Practice address fax:** (352) 735-0911
- **Mailing address:** 2023 W OLD US HIGHWAY 441, MOUNT DORA, FL 32757-3626
- **Mailing address phone:** (352) 735-5400
- **Mailing address fax:** (352) 735-0911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN9991 | FL | Yes |

## Other

- **Enumeration date:** 02/24/2011
- **Last updated:** 02/24/2011