Robert Dale Bowman Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8629 Issued in NC

Practice address

5955 Weddington Monroe Rd
Suite 101
Wesley Chapel, NC 28104-6273

Phone

(704) 612-1313

Fax

(704) 973-0682

NPI assigned

Jun 24, 2008

Last updated

Oct 31, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1538320205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 WEDDINGTON MONROE RD",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "NC",
            "postal_code": "281046273",
            "telephone_number": "704-612-1313",
            "fax_number": "704-973-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 WEDDINGTON MONROE RD",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "NC",
            "postal_code": "281046273",
            "telephone_number": "704-612-1313",
            "fax_number": "704-973-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "ROBERT",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balasanyan & Associates PLLC (LandMark Dentistry of Wesley Chapel)
• Anait Balasanyan
• Carolinas Physicians Network Inc (Atrium Health Primary Care Wesley Chapel Family Medicine)
• Carolinas Physicians Network Inc (Wesley Chapel Family Medicine)
• Sadhana Archana Char, M.D.
• Leigha Dy-Ann Evans
• Harris Teeter, LLC

• General Practice Dentistry in Wesley Chapel, NC
• Providers in Wesley Chapel, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.