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Dustin Bowler, DDS
Student in an Organized Health Care Education/Training Program in Glen Allen, Virginia
NPI 1033544937

Dustin Bowler is a Student in an Organized Health Care Education/Training Program based in Glen Allen, VA. Dustin Bowler practices in Glen Allen, VA and has the professional credentials of DDS. The NPI Number for Dustin Bowler is 1033544937 and holds a License No. 202787 (Virginia).

The current practice location address for Dustin Bowler is 4820 Lake Brook Dr Ste 100, Glen Allen, VA and can be reached out via phone at 303-882-7696.

Location: 4820 Lake Brook Dr Ste 100, Glen Allen, VA, 23060-9291
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033544937
Provider Name
Dustin Bowler
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4820 Lake Brook Dr Ste 100, Glen Allen, VA, 23060-9291
Phone Number
303-882-7696
Fax Number
Provider Enumeration Date
09/10/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4820 Lake Brook Dr Ste 100
City
Glen Allen
State
Virginia
Zip
23060-9291
Phone Number
303-882-7696
Fax Number
person
Provider Business Mailing Address Details
Address
4820 Lake Brook Dr Ste 100
City
Glen Allen
State
Virginia
Zip
23060-9291
Phone Number
303-882-7696
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
202787 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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