Bowles Family Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

41818 Issued in CA

Legal business name

BOWLES FAMILY DENTAL CORP

Practice address

1520 E Lincoln Ave
Suite 1
Anaheim, CA 92805-2261

Phone

(714) 772-2114

Fax

(714) 772-1739

NPI assigned

Jun 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark Simmons Bowles, DDSNPI 1588675573

Title

President Owner

Phone

(714) 772-2114

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Simmons Bowles, DDS

  • General Practice Dentistry
  • Heber City, UT
  • NPI 1588675573
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1003076092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 E LINCOLN AVE",
            "address_2": "SUITE 1",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052261",
            "telephone_number": "714-772-2114",
            "fax_number": "714-772-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E LINCOLN AVE",
            "address_2": "SUITE 1",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052261",
            "telephone_number": "714-772-2114",
            "fax_number": "714-772-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLES FAMILY DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "SIMMONS",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "714-772-2114",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Boverie
• Courtney Kassebaum Bovy, O.D.
• Timothy Leon Bowen
• Sherri Liane Bower, PTA
• Abdelilleh Bowghanem, M.D
• Andrew Lee Bowman
• Katherine M Bowman, MSCCC
• Kirk Bowman, BA
• David Michael Boyajian
• Katherine Lilly Boyd-Cordova, PA-C

• Dentist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.