Roy D. Bower, DMD, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

23506 Issued in IL

Legal business name

ROY D. BOWER, DMD, LLC

Practice address

4201 Broadway St
Suite C
Mount Vernon, IL 62864-2282

Phone

(618) 241-0353

NPI assigned

Mar 4, 2015

Last updated

Mar 4, 2015By 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

Roy Bower, DMD

Title

Owner

Phone

(618) 241-3528

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.

• Mitsu Patel

  • Dentist
  • Sanger, CA
  • NPI 1477348852
  NPD (past)
• Manogna Deepthi Yakasiri

  • General Practice Dentistry
  • Logansport, IN
  • NPI 1659927515
  NPD (past)

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1841682549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BROADWAY ST",
            "address_2": "SUITE C",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642282",
            "telephone_number": "618-241-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY D. BOWER, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-241-3528",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "23506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla R. Rogers, NP-C
• Brenda Lee Roman, CD
• Arthur Edward Ronat, DDS
• Roots of Hope Counseling PLLC
• John Gordon Rowe, M.D.
• Kimberly Dawn Rubenacker, OT
• Tyler Andrew Rueter, FNP-C
• Cheryl Jeanne Uy Rushing, PT
• Leslie W Russell, R . PH.
• Casey Ryan, MS, CCC-SLP

• Dentist in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.