Blane Bowen, DDS
Individual provider Active NPI General Practice Dentistry · Harrison, MI
NPI 1588046700 · NPPES record last updated Jun 24, 2015
Key facts
- NPI
- 1588046700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901021620 (MI)
- Practice address
- 815 N Clare Ave
Harrison, MI 48625-8176 - Phone
- (810) 964-1410
- NPI assigned
- Jun 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901021620 | MI | Yes |
Addresses
Primary practice location
815 N Clare Ave
Harrison, MI 48625-8176
Mailing address
1413 Morninglow Dr
Grand Blanc, MI 48439-1717
Phone (810) 964-1410
Other providers in Harrison, MI
- Susan Bentley
- Brandi Bills
- Harold L Bobo Jr.
- Rebecca Ann Boucher
- Bradley James Boulton
- Marisa Bowie
- Jennifer Burch
- Lisa Renee Bush
- Care Connections Home Services
- Brianna Catherene Cass
All providers in Harrison, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.