Dr. Tracy Austin Bowden, D.D.S.
Dentist in Timonium, MD. Individual provider (NPI-1).
NPI number1508947284
StatusActive
Last updated in NPPESOct 12, 2016
Details
- NPI
- 1508947284
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tracy Austin Bowden
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 18, 2006
- Last updated
- Oct 12, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 10463 | MD | Yes |
Practice location
2326 York RdSuite 200
Timonium, MD 21093-2266
Phone 410-828-5699 · Fax 410-828-0711
Mailing address
2326 York RdSuite 200
Timonium, MD 21093-2266
Phone 410-828-5699 · Fax 410-828-0711
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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