Edward Charles Bowler in La Mesa - Periodontics
Edward Charles Bowler - NPI 1518978576
Edward Charles Bowler is a Periodontics in La Mesa, California. Edward Charles Bowler practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Edward Charles Bowler is 1518978576. The last update date is 2007-07-08.
Edward Charles Bowler's current location address is 5565 Grossmont Center Dr, La Mesa, California. You can contact this provider via phone number 6194612900. The mailing address for Edward Charles Bowler is 5565 Grossmont Center Dr, La Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Charles Bowler |
|---|---|
| Address | 5565 Grossmont Center Dr, La Mesa, California |
| Phone Number | 6194612900 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1518978576 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5565 Grossmont Center Dr |
|---|---|
| City | La Mesa |
| State | California (CA) |
| Post Code | 919423020 |
| Phone Number | 6194612900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 23090 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identification code assigned to Edward Charles Bowler by the Centers for Medicare & Medicaid Services?
The Edward Charles Bowler has been issued the NPI (National Provider Identifier) 1518978576, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Edward Charles Bowler located?
The Edward Charles Bowler is located at 5565 Grossmont Center Dr, La Mesa, CA 919423020.
What is Edward Charles Bowler's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edward Charles Bowler's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518978576 to Edward Charles Bowler?
The Centers for Medicare & Medicaid Services originally issued the 1518978576 to Edward Charles Bowler on 2006-08-11.
As of what date were the Edward Charles Bowler's details last updated?
The information pertaining to the Edward Charles Bowler, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1023014131
Address: 3901 Houma Blvd, Metairie, LA