ROY D. BOWER, DMD, LLC


Address: 4201 Broadway St, Suite C, Mount Vernon, IL 62864-2282
Phone: 6182410353

ROY D. BOWER, DMD, LLC (NPI# 1841682549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841682549
Entity Type Organization
Organization Name ROY D. BOWER, DMD, LLC
Practice Address 4201 Broadway St
Suite C
Mount Vernon
IL 62864-2282
Mailing Address Po Box 3189
Syracuse
NY 13220-3189
Practice Telephone 6182410353
Enumeration Date 2015-03-04
Last Update Date 2015-03-04
Authorized Official Name ROY BOWER (OWNER)
Authorized Official Telephone 6182413528
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 23506 IL Dental Providers

Office Location

Street Address 4201 BROADWAY ST
SUITE C
City MOUNT VERNON
State IL
Zip Code 62864-2282

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588040976 Shima Phoenix Dentist 4201 Broadway St, Mount Vernon, IL 62864-2282 2015-08-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619438892 Melissa Pryer Dietitian, Registered 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 2019-03-28
1487145454 Chiropractic Wellness Center of Mt Vernon, LLC. Chiropractor 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 2018-05-24
1851889208 Kimberly Tate Counselor 4110 North Water Place, Mt. Vernon, IL 62864 2018-05-01
1871907790 University Hematology Oncology Inc Specialist #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 2014-06-18
1457771677 Dynamic Counseling and Consultation Services Social Worker 3600 S Water Tower Pl, Mt Vernon, IL 62864 2014-04-27
1619239431 Judith C Morgan Counselor 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 2012-06-08
1073888624 James Brian Verges Counselor 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 2012-03-15
1720352271 Lucinda M. Holdren Counselor 16338 North Illinois Highway 37, Mount Vernon, IL 62864 2012-03-01
1780978627 Jamie M Orange Physical Therapy Assistant 19958 Fairfield Rd, Mt. Vernon, IL 62864 2011-06-08
1780978791 Wendy Marie Claytor Speech-Language Pathologist 600 E Il Hwy 15, Mount Vernon, IL 62864 2011-06-07
Find all providers in zip 62864

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609437243 Eric P Buck, Dds, Mt Vernon, LLC Dentist 809 Coshocton Ave Ste 300, Mount Vernon, OH 43050-1900 2019-06-25
1356820799 Sumit Makker Dentist 120 S 15th St Ste A, Mount Vernon, WA 98274-4500 2018-08-07
1043768864 Ahmed and Kang Ps Dentist 2120 Freeway Dr, Mount Vernon, WA 98273-5478 2016-09-21
1841643640 Kari R. Mann Dentist 1229 Memorial Hwy # 53, Mount Vernon, WA 98273-3268 2016-07-15
1144672254 Kirsten Karkow Dentist 801 Highway 30 W, Mount Vernon, IA 52314-9518 2016-07-13
1174905285 Michael Wesley Neal Dentist 3 Doctors Park Rd, Mount Vernon, IL 62864-6200 2015-06-25
1760891618 David N. Wells Dentist 803 East Fourth Street, Mount Vernon, IN 47620-0673 2014-08-05
1447596184 Gary David Parson Dentist 5 N Gay St, Mount Vernon, OH 43050-3241 2012-12-28
1528340858 Todd Thomas Cooley Dentist 2124 Riverside Dr Ste 108, Mount Vernon, WA 98273-5461 2011-09-13
1386925477 Ashoka Subedar Dentist 230 S 15th St, Suite A, Mount Vernon, WA 98274-4570 2011-09-01
Find all providers in MOUNT VERNON

Competitor

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City MOUNT VERNON
Zip Code 62864

Improve Information

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Dataset Information

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.

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