Michael Spenser Bowen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12304444-9922 Issued in UT

Practice address

1275 E Fort Union Blvd Ste 200
Cottonwood Heights, UT 84047-1885

Phone

(801) 676-8100

NPI assigned

May 15, 2021

Last updated

May 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621036800000",
    "number": "1508430414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 E FORT UNION BLVD STE 200",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 E FORT UNION BLVD STE 200",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471885",
            "telephone_number": "801-676-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "MICHAEL",
        "middle_name": "SPENSER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "12304444-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa A Boll, CNM
• Nicholas Bolton, LCSW
• Carl Bombardier, RDN
• Suresh Boodram, RPH
• Stephanie Boulter, PA-C
• Lennea R Bower
• Lori Bowser, APRN
• Lincoln Bradshaw
• Chloe Caitlyn Bramwell
• Ariel Branden, DPT

• General Practice Dentistry in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; 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.