DR. JOHN O. BOWCOCK JR. (NPI# 1235225533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235225533 |
| Entity Type | Individual |
| Full Name | DR. JOHN O. BOWCOCK JR. |
| Credential | D.D.S. |
| Practice Address |
103 Martin Luther King Jr Dr Forsyth GA 31029-1698 |
| Practice Telephone | 4789942070 |
| Practice Fax Number | 4789945265 |
| Mailing Telephone | 4789942070 |
| Mailing Fax Number | 4789945265 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN007523 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00044668A | 05 | |
| GA | 000931422A | 05 |
| Street Address |
103 MARTIN LUTHER KING JR DR |
| City | FORSYTH |
| State | GA |
| Zip Code | 31029-1698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699836833 | River Edge Behavioral Health Center | Community/Behavioral Health | 101 Willis Wilder Drive, Forsyth, GA 31029 | 2006-12-12 |
| 1497840821 | Castleberry Drug Company, LLC | Pharmacist | 67 N. Lee St, Forsyth, GA 31029 | 2006-10-03 |
| 1437168853 | Mclendon Pt Services LLC | Physical Therapist | 320 Lee King Rd, Forsyth, GA 31029 | 2006-08-05 |
| 1831168905 | Patton P Smith | Family Medicine | 90-a Martin Luther King Jr Drive, Forsyth, GA 31029 | 2006-03-14 |
| 1124504782 | Kenneth Wayne Waddell Jr. | Nurse Practitioner | 120 N Lee St Ste A, Forsyth, GA 31029 | 2018-07-17 |
| 1790176865 | Speechworks 4 Kids, LLC | Speech-Language Pathologist | 215 Cresent Dr, Forsyth, GA 31029 | 2015-02-11 |
| 1316988645 | Sarah Elizabeth Conklin | Nurse Practitioner | 90-a Martin Luther King Jr. Drive, Forsyth, GA 31029-0000 | 2006-06-09 |
| 1801981592 | Craig Caldwell | Internal Medicine | 97 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2006-10-04 |
| 1518079326 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 91 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2006-08-31 |
| 1427160191 | Tammy Lynn Barnett | Nurse Practitioner | 97 Martin Luther King Jr. Dr., Forsyth, GA 31029-1648 | 2006-08-31 |
| Find all providers in zip 31029 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891131215 | Vatsala Maheshwari PC | Dentist | 124 E Highland Dr, Forsyth, IL 62535-8906 | 2013-05-13 |
| 1922137652 | Dr Edward A Schanda and Dr Albert H Schanda Dds LLC | Dentist | 16040 Us Hwy 160, Forsyth, MO 65653 | 2007-03-06 |
| 1871654814 | Clell Mclane Morris | Dentist | 94 N Bennett St, Forsyth, GA 31029-1977 | 2006-12-13 |
| 1073601316 | Stanley J Hickman | Dentist | 275 N Frontage Rd, Forsyth, GA 31029-9556 | 2006-10-11 |
| 1306884937 | Deena Holliman Smith, Dmd, PC | Dentist | 205 Medical Ct, Forsyth, GA 31029-1662 | 2006-06-04 |
| 1962041665 | Anne Azzo | Dentist | 124 E Highland Dr, Forsyth, IL 62535-8906 | 2019-12-27 |
| 1437671633 | Gaurav Malik | Dentist | 124 E Highland Dr, Forsyth, IL 62535-8906 | 2017-07-10 |
| 1427456656 | Dr Nathan Woodward Dds LLC | Dentist | 16040 Us Highway 160, Forsyth, MO 65653-8100 | 2014-12-22 |
| 1942573662 | Southern Smiles LLC | Dentist | 275 N Frontage Rd, Forsyth, GA 31029-9556 | 2012-02-10 |
| 1992926091 | Deena Holliman Smith | Dentist | 205 Medical Ct, Forsyth, GA 31029-1662 | 2007-05-02 |
| Find all providers in FORSYTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.