Brandon M Bowen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11334328 Issued in UT

Practice address

1356 S 2100 E
Salt Lake City, UT 84108-2244

Phone

(801) 913-0337

Fax

(801) 581-0548

NPI assigned

Apr 8, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1720541709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 S 2100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082244",
            "telephone_number": "801-913-0337",
            "fax_number": "801-581-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 S 2100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082244",
            "telephone_number": "801-913-0337",
            "fax_number": "801-581-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "BRANDON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "11334328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terra Bowden, MSN, FNP
• Timothy Paul Bowden, PHARMD
• Anneli R Bowen, M.D.
• Annette Bowen
• Bradford Daniel Bowen, DDS
• Brenda Kathleen Bowen, SSW
• Jane Dahle Bowen, CNM, APRN-BC
• Janeen Hardman Bowen, APRN
• Jason Ross Bowen, DPM
• Jennifer Lynn Bowen, DPT

• Dentist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.