Dr. Larry Richard Bowman, DMD
Dentist, General Practice in Fort Huachuca, AZ. Individual provider (NPI-1).
NPI number1790731909
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1790731909
- Entity type
- Individual (NPI-1)
- Name
- Dr. Larry Richard Bowman
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 26, 2006
- Last updated
- Jul 13, 2026
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 |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4153 | KY | Yes |
Practice location
Hqs, U.S. Army Dental Activity51005 Winans Riley Barracks East Wing
Fort Huachuca, AZ 85613-7040
Phone 520-533-3144 · Fax 520-533-7285
Mailing address
Hqs, U.S. Army Dental Activity51005 Winans Riley Barracks East Wing
Fort Huachuca, AZ 85613-7040
Phone 520-533-3144 · Fax 520-533-7285
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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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