Bowen, Gregory Robert

Bowen, Gregory Robert is an individual health care provider with primary practice located at 909 Ne Loop 410 Suite 703, San Antonio TX 78209-1302. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bowen, Gregory Robert can be contacted via phone (210) 824-1482.

Contact Information

Primary practice address
909 Ne Loop 410 Suite 703 San Antonio TX 78209-1302
Phone: (210) 824-1482
Fax: (210) 824-1464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 14279 Texas

Profile Details

NPI number 1093923294
LBN Legal business name Bowen, Gregory Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093923294 NPPES
Texas Other 14279 STATE DENTAL LISCENSE

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