O G Bowser DMD LTD

Primary specialty

DentistTaxonomy code 122300000X

License

DS015328L Issued in PA

Legal business name

O G BOWSER DMD LTD

Practice address

939 Fourth Avenue
Ford City, PA 16226-0208

Phone

(724) 763-3651

Fax

(724) 763-2634

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. O G Bowser, DMD

Title

President

Phone

(724) 763-3651

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1083768006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "address_2": "939 FOURTH AVENUE",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162260208",
            "telephone_number": "724-763-3651",
            "fax_number": "724-763-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 FOURTH AVENUE",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162260208",
            "telephone_number": "724-763-3651",
            "fax_number": "724-763-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O G BOWSER DMD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "BOWSER",
        "authorized_official_first_name": "O",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-763-3651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS015328L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Ford City, PA
• Providers in Ford City, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.