Bowman Dental Group

NPI #1427102615 in O Fallon, Illinois

Provider Information

NPI Number: 1427102615
Entity Type: Organization
Organization Name: Bowman Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 741 W STATE ST
Address 2: STE. 1
City: O Fallon
State: Illinois
ZIP Code: 62269-1971
Phone: (618) 632-2282

Authorized Official

Name: DR. TONYA L. BOWMAN, D.M.D.
Title: PRESIDENT
Phone: (618) 632-2282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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