Dennis Doyle Bowman, D.D.S

Individual provider Active NPI General Practice Dentistry · Stateline, NV

NPI 1750596276 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1750596276
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
783 (NV)
Practice address
276 Kingsbury Grade
Stateline, NV 89449
Phone
(777) 558-8402
Fax
(775) 588-7182
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
783NVMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 783 NV Yes

Addresses

Primary practice location

276 Kingsbury Grade
Stateline, NV 89449

Mailing address

PO Box 4560
Stateline, NV 89449-4560
Phone (775) 588-4021

Other providers in Stateline, NV

All providers in Stateline, NV · General Practice Dentistry in Nevada

Sources for this page

Verify at the official NPI Registry.