DR. GARY M BOWEN II (NPI# 1649322074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649322074 |
| Entity Type | Individual |
| Full Name | DR. GARY M BOWEN II |
| Credential | D.D.S. |
| Practice Address |
319 Main St. Clay WV 25043 |
| Mailing Address |
112 Canterbury Cir Elkview WV 25043 |
| Practice Telephone | 3045877495 |
| Practice Fax Number | 3045877524 |
| Mailing Telephone | 3049650520 |
| Mailing Fax Number | 3045877425 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | WV 3570 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810001572 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265849343 | Gary Anthony Rudolph Bowen | Physician Assistant | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2014-07-21 |
| 1316181621 | Gary B Bowen | Technician/Technologist | 706 Fleming St, Hendersonville, NC 28791-3526 | 2009-04-30 |
| 1619048022 | Gary Dean Bowen | Dermatology | 2741 S 8th Ave, #a, Yuma, AZ 85364 | 2006-11-10 |
| Street Address |
319 MAIN ST. |
| City | CLAY |
| State | WV |
| Zip Code | 25043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306998125 | Stacy L Bowen | Dentist | 319 Main St., Clay, WV 25043 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538517354 | Barbara Ballash | Psychologist | 1500 Clay Hwy #101, Clay, WV 25043 | 2016-06-02 |
| 1457640583 | Larry Simmons | Pharmacist | 173 Main Street, Clay, WV 25043 | 2011-03-29 |
| 1245418946 | Michelle Haddox | Speech-Language Pathologist | 285 Church Street, Clay, WV 25043 | 2008-02-05 |
| 1467652453 | Clay County Schools | Local Education Agency (LEA) | #1 Gump Street, Clay, WV 25043 | 2007-07-19 |
| 1801914536 | Total Life Clinicians | Community/Behavioral Health | 168 Church Street, Clay, WV 25043 | 2007-03-27 |
| 1295872018 | Clay County Ambulance Services | Ambulance | 464 Main St., Clay, WV 25043 | 2007-01-31 |
| 1922194760 | Stephanie Johnson | Occupational Therapist | 242 Church St., Clay, WV 25043 | 2006-10-05 |
| 1437160033 | Highland Behavioral Health Services Inc | Clinic/Center | 163 Main Street, Clay, WV 25043 | 2006-08-10 |
| 1801803465 | Clay County Board of Health | Public Health or Welfare | 452 Main St, Clay, WV 25043 | 2006-08-03 |
| 1174131353 | Sharon Vaughan Slack | Registered Nurse | 15 Bank St, Clay, WV 25043 | 2020-07-14 |
| Find all providers in zip 25043 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306998125 | Stacy L Bowen | Dentist | 319 Main St., Clay, WV 25043 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788078 | Miranda Jordan Kimble | Dentist | 422 Kinetic Dr Ste A, Huntington, WV 25701-5268 | 2020-07-30 |
| 1790303931 | Brennan Bish | Dentist | 451 Kinetic Dr, Huntington, WV 25701-5270 | 2020-07-13 |
| 1225672843 | Adam M. Grubler Dds, Pllc | Dentist | 1160 Johnson Ave Ste 104, Bridgeport, WV 26330-1487 | 2019-11-06 |
| 1073154845 | Sound Sleep Treatments of The Virginias LLC | Dentist | 33 Eagles Rd, Beckley, WV 25801-3643 | 2019-10-03 |
| 1275183998 | Kenan Hatem Hossino | Dentist | 415 Morris St Ste 101, Charleston, WV 25301-1840 | 2019-09-14 |
| 1366094831 | Pooja Chugh | Dentist | 409 Arabela Ct, Morgantown, WV 26508-4266 | 2019-07-15 |
| 1407418072 | Doheum Choi | Dentist | 942 Chestnut Ridge Rd Apt H, Morgantown, WV 26505-3085 | 2019-07-03 |
| 1629635164 | Breana Marie Dieringer | Dentist | 3126 George Washington Hwy, Thornton, WV 26440-7231 | 2019-05-21 |
| 1982190435 | Brian K Farley | Dentist | 1628 W 3rd Ave, Williamson, WV 25661-3007 | 2018-07-09 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| Find all providers with the same taxonomy | ||||
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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.