Brodie Len Bowman in Fort Walton Beach - Orthodontics And Dentofacial Orthopedics

Brodie Len Bowman - NPI 1952392052

Brodie Len Bowman is a Orthodontics And Dentofacial Orthopedics in Fort Walton Beach, Florida. Brodie Len Bowman practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Brodie Len Bowman is 1952392052. The last update date is 2013-02-04.

Brodie Len Bowman's current location address is 28 Racetrack Rd Nw, Fort Walton Beach, Florida. You can contact this provider via phone number 8508632122. The mailing address for Brodie Len Bowman is 28 Racetrack Rd Nw, Fort Walton Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Brodie Len Bowman
Address 28 Racetrack Rd Nw, Fort Walton Beach, Florida
Phone Number 8508632122
Fax Number
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1952392052
Provider Enumeration Date 2005-10-31
Last Updated Date 2013-02-04

Provider Mailing Address Detail

Address 28 Racetrack Rd Nw
City Fort Walton Beach
State Florida (FL)
Post Code 325471640
Phone Number 8508632122
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No DN 16286
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Brodie Len Bowman

What is the unique 10-digit identification code assigned to Brodie Len Bowman by the Centers for Medicare & Medicaid Services?

The Brodie Len Bowman has been issued the NPI (National Provider Identifier) 1952392052, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Brodie Len Bowman is geographically located?

The Brodie Len Bowman is physically situated at the following location: 28 Racetrack Rd Nw, Fort Walton Beach, FL, 325471640.

What is the area of specialization for Brodie Len Bowman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Brodie Len Bowman is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.

When did the Brodie Len Bowman receive its 1952392052?

The Brodie Len Bowman was issued its 1952392052 on 2005-10-31, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Brodie Len Bowman most recently updated or revised?

The information pertaining to Brodie Len Bowman, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-04.

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