JEFFREY W BOWMAN DMD PC (NPI# 1922269331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922269331 |
| Entity Type | Organization |
| Organization Name | JEFFREY W BOWMAN DMD PC |
| Other Organization Name | GRAND TETON DENTEAL CARE |
| Practice Address |
741 S 50 W Suite A Victor ID 83455-5345 |
| Practice Telephone | 2087872323 |
| Mailing Telephone | 2087872323 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | DR. JEFFREY WILDAN BOWMAN (OWNER - DENTIST) |
| Authorized Official Telephone | 2087872323 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D3162 | ID | Dental Providers |
| Other Name | Type Code |
|---|---|
| Grand Teton Denteal Care | Other Name - Individual/Organization |
| Street Address |
741 S 50 W SUITE A |
| City | VICTOR |
| State | ID |
| Zip Code | 83455-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144313305 | Thomas Simmons | Optometrist | 741 S 50 W, Ste B, Victor, ID 83455 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376050385 | Hunters Inc | Pharmacy | 81 N. Main St., Victor, ID 83455 | 2017-12-29 |
| 1194109306 | Emily Williams | Occupational Therapist | 73 N Main Street, Victor, ID 83455 | 2015-07-17 |
| 1073918173 | Teton Valley Vision PC | Optometrist | 7389 S Hwy 33, Ste B, Victor, ID 83455 | 2014-10-31 |
| 1437440591 | Nathan Richard George | Dentist | 7726 Lupine Lane, Victor, ID 83455 | 2011-04-25 |
| 1245537695 | Erin N Borbet | Acupuncturist | 108 W Center St Unit 3, Victor, ID 83455 | 2011-02-22 |
| 1336457837 | Grand Teton Dental Care | Clinic/Center | 741 South 50 West, Suite A, Victor, ID 83455 | 2010-09-17 |
| 1598086126 | Childs Play, LLC | Speech-Language Pathologist | 73 North Main, Victor, ID 83455 | 2010-06-17 |
| 1891025656 | Phillips Therapy Incorporated | Occupational Therapist | 73 North Main St., Suite 3, Victor, ID 83455 | 2009-12-30 |
| 1861621278 | Elmer Raymond Cherry Iv | Dentist | 7389 S. Hwy. 33 Suite A, Victor, ID 83455 | 2009-07-07 |
| 1861534133 | Amy Herzog | Counselor | 175 Brome Dr., #7, Victor, ID 83455 | 2007-02-13 |
| Find all providers in zip 83455 | ||||
| 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 |
|---|---|---|---|---|
| 1285271114 | Victor Dental Care Pllc | Dentist | 6536 Anthony Dr Ste A, Victor, NY 14564-1419 | 2019-12-10 |
| 1437440591 | Nathan Richard George | Dentist | 7726 Lupine Lane, Victor, ID 83455 | 2011-04-25 |
| 1801051180 | Anderson Dental, P.C. | Dentist | 2412 Meridian Rd., Victor, MT 59875 | 2008-07-25 |
| 1730346362 | Jeremy Michael Anderson | Dentist | 2412 Meridian Rd, Victor, MT 59875 | 2008-05-21 |
| 1801932793 | Wendy Colleen Marshall | Dentist | 7375 State Route 96 Ste 200, Victor, NY 14564-9662 | 2007-01-29 |
| 1457408114 | Mark Bryan Tornatore | Dentist | 6536 Anthony Drive Suite A, East Victor Place, Victor, NY 14564 | 2007-01-04 |
| 1366543563 | Mountain River Dental Pllc | Dentist | 404 Lupine Dr., Victor, ID 83455 | 2006-09-26 |
| 1962759555 | Victor Family Dentistry, Pllc | Dentist | 277 W Main St, Victor, NY 14564-1123 | 2012-08-14 |
| 1245392836 | Randall K Freeman | Dentist | 126 East Main Street, Victor, NY 14564 | 2006-12-14 |
| 1538243548 | Victor Family Dentistry | Dentist | 277 W Main St, Victor, NY 14564-1123 | 2006-10-25 |
| Find all providers in VICTOR | ||||
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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.