Roger Kenton Bowman, DMD
Individual provider Active NPI General Practice Dentistry · Glasgow, KY
NPI 1295837565 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295837565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4486 (KY)
- Practice address
- 1010 A Glenview Dr
Glasgow, KY 42141 - Phone
- (270) 651-8941
- Fax
- (270) 651-8941
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 4486 | KY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4486 | KY | Yes |
Addresses
Primary practice location
1010 A Glenview Dr
Glasgow, KY 42141
Mailing address
1010 A Glenview Dr
Glasgow, KY 42141
Phone (270) 651-8941
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60044864 | Medicaid | KY |
Other providers in Glasgow, KY
- Ashley M Bowles
- Ty E Bowles
- Bowling Green-Warren County Community Hospital Corporation
- Kerri Bowling
- Kimberly A Bowman
- Olivia Marie Bradshaw
- William J Bradshaw
- Rachel Branham
- Gregory Branstetter
- Mary Lauretta Branstetter
All providers in Glasgow, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.