Individual
NICHOLAS EVAN BOWERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3102 N HIGHWAY 17, MOUNT PLEASANT, SC 29466-6925
(843) 970-7292
Mailing address
1971 N MAIN ST, SUMMERVILLE, SC 29486-7890
(843) 695-9236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10534
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2023
Last updated
07/28/2023
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