J&L Bowman Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

J&L BOWMAN CORP

Practice address

888 South U.S. Hwy #1
Rockledge, FL 32955-2126

Phone

(321) 631-3155

Fax

(631) 638-8684

NPI assigned

Aug 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy Allen Bowman, DMD

Title

Owner

Phone

(321) 631-3155

Specialties & licenses 1

Addresses

Other names 1

• atlantic denture clinic Doing business as

Locations

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1124219613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 SOUTH U.S. HWY #1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552126",
            "telephone_number": "321-631-3155",
            "fax_number": "631-638-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 SOUTH U.S. HWY #1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552126",
            "telephone_number": "321-631-3155",
            "fax_number": "631-638-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&L BOWMAN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-631-3155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "atlantic denture clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.