# DR. BRYANT W STOWE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1942239017
- **Gender:** Man
- **Credential:** DDS, MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D8614 | OR | — |
| 1223E0200X | Endodontics | 1225 | WY | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 01/04/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 022868 | — | OR |
| 01 | — | 943096772 | FEDERAL TAX ID | — |