DR. WALTER Q BOWLIN JR. (NPI# 1619098878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619098878 |
| Entity Type | Individual |
| Full Name | DR. WALTER Q BOWLIN JR. |
| Credential | DDS |
| Practice Address |
3645 W Waters Ave Tampa FL 33614-2783 |
| Mailing Address |
3411 Forelock Rd Tarpon Springs FL 34688-9043 |
| Practice Telephone | 8139336228 |
| Practice Fax Number | 8139338237 |
| Mailing Telephone | 7277091388 |
| Mailing Fax Number | 7279430979 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN0013288 | FL | Dental Providers |
| Street Address |
3645 W WATERS AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-2783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508828013 | Luis Velasco | Family Medicine | 3645 W Waters Ave, Tampa, FL 33614-2783 | 2006-04-03 |
| 1487264917 | Ismara Hernandez Carrazana | Nurse Practitioner | 3645 W Waters Ave, Tampa, FL 33614-2783 | 2020-08-10 |
| 1598226797 | Phoenix Medical Centers Corp | Family Medicine | 3645 W Waters Ave, Tampa, FL 33614-2783 | 2019-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
| 1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
| 1316308547 | Renato J. Aves, LLC | Dentist | 7720 W Waters Ave, Tampa, FL 33615-1813 | 2016-03-16 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| 1336322650 | Renato J Aves Jr. | Dentist | 7712 W Waters Ave, Tampa, FL 33615-1813 | 2007-12-10 |
| 1376681791 | Robert Orta | Dentist | 801 West Dr Martin Luther King Jr Blvd, Suite 2, Tampa, FL 33603 | 2007-02-01 |
| 1194878462 | Robert Orta Dds Pa | Dentist | 801 W Dr Martin Luther King Jr Blvd, Ste 2, Tampa, FL 33603 | 2007-01-19 |
| 1588745228 | Jeffrey Victor Moffett | Dentist | 275 Bayshore Blvd, 805, Tampa, FL 33606-2328 | 2006-10-18 |
| 1902909526 | David G Mcdonald | Dentist | 7001 N Dale Mabry, #7, Tampa, FL 33614 | 2006-09-07 |
| 1245333509 | Dale Salomon | Dentist | 14815 N Dale Mabry Hwy, Tampa, FL 33618-2027 | 2006-09-05 |
| Find all providers in TAMPA | ||||
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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.