Individual provider · NPI-1

Daniel J Bowser, DMD

Dentist, Oral and Maxillofacial Surgery · Philadelphia, PA

NPI number1962601773
StatusActive
Last updated in NPPESJul 29, 2020

Details

NPI
1962601773
Entity type
Individual (NPI-1)
Name
Daniel J Bowser
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 12, 2007
Certification date
Jul 29, 2020
Last updated
Jul 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223S0112X Dentist, Oral and Maxillofacial SurgeryDS0385595PAYes
204E00000X Oral & Maxillofacial SurgeryDS0385595PA

Practice location

2327 Cottman Ave
Philadelphia, PA 19149-1008

Phone 215-332-8700

Mailing address

222 River Rd
Gladwyne, PA 19035-1240

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