Melissa S Bowler DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

5715 Issued in OK

Legal business name

MELISSA S BOWLER DDS PC

Doing business as

collinsville family dentistry

Practice address

1310 W Main St
Collinsville, OK 74021-3012

Phone

(918) 371-3774

Fax

(918) 371-5347

NPI assigned

Apr 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Sue Bowler, DDSNPI 1629080866

Title

Presidenet

Phone

(918) 371-3774

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• collinsville family dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Bowler, DDS

  • Dentist
  • Collinsville, OK
  • NPI 1629080866
  NPD (past) Authorized official

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

{
    "created_epoch": "1209254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213401600000",
    "number": "1932374360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W MAIN ST",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740213012",
            "telephone_number": "918-371-3774",
            "fax_number": "918-371-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W MAIN ST",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740213012",
            "telephone_number": "918-371-3774",
            "fax_number": "918-371-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA S BOWLER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-27",
        "last_updated": "2008-06-14",
        "status": "A",
        "authorized_official_last_name": "BOWLER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENET",
        "authorized_official_telephone_number": "918-371-3774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1629080866",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "collinsville family dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janell Lundgren
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• Kody Wayne McKnight
• Amanda Lea McMillan
• Medical Arts Center, Inc
• Jason Keith Miles, DO
• Al Tharyn Nacthigall, DPH
• Kimberly Shay Nash, PT, DPT
• Jerome Neal Jr.
• Cassandra Lana Nichols

• Dentist in Collinsville, OK
• Providers in Collinsville, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2008; 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.