Bowser Family Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BOWSER FAMILY DENTISTRY LLC

Practice address

3615 Lake Ave
Fort Wayne, IN 46805-5539

Phone

(260) 424-6031

Fax

(260) 755-5176

NPI assigned

Apr 23, 2025

Last updated

Apr 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin James Bowser, DDSNPI 1093380404

Title

Member

Phone

(574) 215-6544

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin James Bowser, DDS

  • Dentist
  • Fort Wayne, IN
  • NPI 1093380404
  NPD Authorized official
• Robert Stephen Schreck, DDS

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1740397033
  NPD (past)

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1669269577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BAYSPRING DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055539",
            "telephone_number": "260-424-6031",
            "fax_number": "260-755-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWSER FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "BOWSER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "574-215-6544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Bowers, OTR/L
• Tasha Christine Bowers, PA
• Gabrielle Corinna Bowie, CNM
• Christopher E. Bowman, DNP
• Erin R. Bowman, PHD, HSPP
• Kevin James Bowser, DDS
• Emily S Bowsher, M.D.
• Mark Alan Boxell, APRN, FNP-BC
• Addeline Boxerman
• Jaclyn Boyd

• Dental Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.