Bowden, Clyde A
Bowden, Clyde A is an sole proprietor health care provider with primary practice located at 3200 S Lancaster Rd , Dallas TX 75216-4555. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bowden, Clyde A can be contacted via phone (214) 375-4100.Contact Information
Primary practice address
3200 S Lancaster Rd
Dallas TX 75216-4555
Phone: (214) 375-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 31555 | Texas |
Profile Details
| NPI number | 1285724450 |
|---|---|
| LBN Legal business name | Bowden, Clyde A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Dec 29th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285724450 | NPPES |
| Texas | MEDICAID | 122300000X |
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