Terry Odell Bowman, D.D.S.
Individual provider Active NPI General Practice Dentistry · Denton, NC
NPI 1619904786 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619904786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3898 (NC)
- Practice address
- 49 Anderson St
Denton, NC 27239 - Phone
- (336) 859-4581
- Fax
- (336) 859-4582
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 3898 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G. Chris Holdaway, DDS, II, PA | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3898 | NC | Yes |
Addresses
Primary practice location
49 Anderson St
Denton, NC 27239
Mailing address
PO Box 973
Denton, NC 27239-0973
Phone (336) 859-4581
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89909-16 | Medicaid | NC |
Other providers in Denton, NC
- Gordon Hampton Bane Jr.
- Barrett & Tanner, Inc.
- Because Early Education Matters, LLC 'Beem'
- Because Early Education Matters, LLC 'Beem'
- Helen Blackburn
- Jason Brooks
- Rebecca Combs
- Conciergency LLC
- Tony Martin Cranford
- Noreen Sales Cunanan
All providers in Denton, NC · General Practice Dentistry in North Carolina
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.