Organization
MELISSA S BOWLER DDS PC
Active
Other names
collinsville family dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA SUE BOWLER DDS (PRESIDENET)
(918) 371-3774
Entity
Organization
Contact information
Practice address
1310 W MAIN ST, COLLINSVILLE, OK 74021-3012
(918) 371-3774
(918) 371-5347
Mailing address
1310 W MAIN ST, COLLINSVILLE, OK 74021-3012
(918) 371-3774
(918) 371-5347
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5715
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629080866
NPI TYPE 1
OK
Enumeration date
04/27/2008
Last updated
06/14/2008
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