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Contact Information

GARY M BOWEN II, DDS
319 MAIN ST.
CLAY, WV25043
 Phone: 304-587-7495
 Fax: 304-587-7524
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GARY M BOWEN II · (Male)

NPI Number 1649322074
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/17/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WV License # WV 3570
  • WV Medicaid 3810001572
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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