Anna Bowden, DDS
Individual provider Active NPI General Practice Dentistry · Ava, MO
NPI 1003548686 · NPPES record last updated Jun 30, 2022
Key facts
- NPI
- 1003548686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2022018975 (MO)
- Practice address
- 504 W. Broadway Ave.
Ava, MO 65608 - Phone
- (417) 683-5739
- NPI assigned
- Jun 30, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022018975 | MO | MD | General Practice Dentistry |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas County Public Health Services Group, Inc. | Past |
Accepting new patients | |
| Douglas County Public Health Services Group, Inc. | Past |
Accepting new patients |
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IA HMO C-SNP
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2022018975 | MO | Yes |
Addresses
Primary practice location
504 W. Broadway Ave.
Ava, MO 65608
Mailing address
PO Box 1359
Ava, MO 65608-1359
Phone (417) 683-5739
Other providers in Ava, MO
- Quirino Baguio
- Michael David Ball
- Rachel Barry
- Patricia Michelle Bass
- Sue Carolyn Berger
- Alan Butler
- Kory Aaron Charpentier
- Mou Shyong Chern
- Chelsea Cloven
- Danica Lael Cody
All providers in Ava, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.