Active NPI
Bowie Dental Associates LLC
- Dental Clinic/Center
- Bowie, MD
National Provider Identifier
1275219859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- BOWIE DENTAL ASSOCIATES LLC
- Practice address
- 14300 Gallant Fox LN Ste 208
Bowie, MD 20715-4033 - Phone
- (301) 464-3500
- Fax
- (301) 262-3594
- NPI assigned
- Jun 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hsiang Lan Chan, DDS
- Title
- Owner
- Phone
- (240) 483-1750
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
14300 Gallant Fox LN Ste 208
Bowie, MD 20715-4033
Mailing address
14300 Gallant Fox LN Ste 208
Bowie, MD 20715-4033
Phone (301) 464-3500
National Provider Directory
National Provider DirectoryLocations
14300 Gallant Fox Ln
Ste 208
Bowie, MD 20715
Phone (301) 464-3500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Bowie, MD
- NPI 1902266299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687824000000",
"number": "1275219859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14300 GALLANT FOX LN STE 208",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154033",
"telephone_number": "301-464-3500",
"fax_number": "301-262-3594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 GALLANT FOX LN STE 208",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154033",
"telephone_number": "301-464-3500",
"fax_number": "301-262-3594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOWIE DENTAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A",
"authorized_official_last_name": "CHAN",
"authorized_official_first_name": "HSIANG LAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-483-1750",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.