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Contact Information

DAN O BOWLIN, DDS
405 2ND ST
TAMMS, IL62988
 Phone: 618-747-2391
 Fax: 618-747-2371
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DAN O BOWLIN · (Male)

NPI Number 1164410312
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/12/2005
Last updated 12/07/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019015264
  • IL Medicaid 019015264
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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