Organization
MICHAEL E BOWMAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E BOWMAN DDS (PRESIDENT/OWNER)
(865) 458-4352
Entity
Organization
Contact information
Practice address
800 MULBERRY ST, LOUDON, TN 37774-1309
(865) 458-4352
(865) 458-2845
Mailing address
800 MULBERRY ST, LOUDON, TN 37774-1309
(865) 458-4352
(865) 458-2845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015986
—
TN
01
—
2009193
BCBS
TN
01
—
628206
UNITED CONCORDIA
TN
Enumeration date
03/27/2008
Last updated
03/27/2008
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