Joseph Dylan Bowles, DDS
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Cleburne, TX
NPI 1922085331 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1922085331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 21480 (TX)
- Practice address
- 110 Del Rio CT
Cleburne, TX 76033-5125 - Phone
- (409) 489-6622
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective May 6, 2016 through May 6, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21480 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21480 | TX | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 21480 | TX | Yes |
Addresses
Primary practice location
110 Del Rio CT
Cleburne, TX 76033-5125
Mailing address
1237 CR 197
Jonesboro, TX 76538
Phone (910) 922-9644
Other providers in Cleburne, TX
- Sylvia Joy Black
- Paul David Blair
- Adam Trent Bond
- Joanna Borkowski
- Boulder Holdings, LLC
- Darla Jean Bradshaw
- Linda Kay Brandt
- Braunlin and Glover Family Dentistry
- Eric Terrance Braunlin
- Brekkin Inc
All providers in Cleburne, TX · Oral and Maxillofacial Surgery (Dentist) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.