Bowen Zhou
Individual provider Active NPI General Practice Dentistry · Leicester, MA
NPI 1639737919 · NPPES record last updated Sep 4, 2020
Key facts
- NPI
- 1639737919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN1858615 (MA)
- Practice address
- 119 S Main St
Leicester, MA 01524-1403 - Phone
- (508) 892-4882
- NPI assigned
- Jun 3, 2019
- 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 |
|---|---|---|---|
| DN1858615 | MA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1858615 | MA | Yes |
Addresses
Primary practice location
119 S Main St
Leicester, MA 01524-1403
Mailing address
319 E 95TH St Apt 24
New York, NY 10128-5742
Phone (508) 361-9154
Other providers in Leicester, MA
- Vine Counseling PLLC
- Wal-Mart Stores East LP
- Wholehearted Therapy LLC
- Heather Witkowski
- Rosemary Wolanski
All providers in Leicester, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2020. 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.