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Contact Information

DOUGLAS Y BOWEN, DMD, MPH
809 S. CHUGACH ST.
STE. #2
PALMER, AK99645
 Phone: 907-745-5337
 Fax: 907-745-5338
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DOUGLAS Y BOWEN · (Male)

NPI Number 1114446564
Status Active
Credentials DMD, MPH
Entity Individual
Enumeration date 09/18/2017
Last updated 05/01/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 149005
  • NV License # LL-455-17
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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