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JEFFREY W BOWMAN DMD PC NPI 1922269331


NPI Information

NPI: 1922269331
Provider Name: JEFFREY W BOWMAN DMD PC

Other Name: GRAND TETON DENTEAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
741 S 50 W
SUITE A
VICTOR, ID
ZIP 83455
Phone: (208) 787-2323
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JEFFREY W BOWMAN DMD PC is a general practice dentist in Victor, ID. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JEFFREY W BOWMAN DMD PC NPI is 1922269331. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Grand Teton Denteal Care.

The provider's business location address is:

741 S 50 W
SUITE A
VICTOR, ID
ZIP 83455-345
Phone: (208) 787-2323

The provider's authorized official is Jeffrey Wildan Bowman .
The authorized official title is Owner - Dentist and has the following contact phone number (208) 787-2323.

The enumeration date for this NPI number is 6/18/2008 and was last updated on 6/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD3162IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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