- Practice location
- 451 Clarkson Ave, Brooklyn, NY 11203-2054
- Phone
- 407-242-7060
- Fax
- —
- Last updated
- May 25, 2024
Nickolas Dominic Ottey Bowen is a Dentist based in Brooklyn, NY. Nickolas Dominic Ottey Bowen practices in Brooklyn, NY and has the professional credentials of DMD. The NPI Number for Nickolas Dominic Ottey Bowen is 1073213625 and holds a License No. DN10000126 (MA). The current practice location address for Nickolas Dominic Ottey Bowen is 451 Clarkson Ave, Brooklyn, NY 11203-2054 and can be reached out via phone at 407-242-7060.
Provider Profile Details
- NPI Number
- 1073213625
- Provider Name
- Nickolas Dominic Ottey Bowen
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 451 Clarkson Ave, Brooklyn, NY 11203-2054
- Phone Number
- 407-242-7060
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 3, 2023
- Last Update Date
- May 25, 2024
- Certification Date
- May 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 451 Clarkson Ave
Brooklyn, NY 11203-2054 - City
- Brooklyn
- State
- New York
- Zip
- 11203-2054
- Phone Number
- 407-242-7060
Provider Business Mailing Address Details
- Address
- 33 Hillcrest Park Apt A
South Hadley, MA 01075-2976 - City
- South Hadley
- State
- MA
- Zip
- 01075-2976
- Phone Number
- 407-242-7060
License Information
- License Number (1)
- DN10000126
- License State (1)
- MA
- Taxonomy (1)
- Dentist · 122300000X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Nickolas D Bowen, DMD?
The NPI number of Dr. Nickolas D Bowen, DMD is 1073213625. It was assigned on March 3, 2023 and is currently active in the NPPES registry.
What is the specialty of Dr. Nickolas D Bowen, DMD?
Dr. Nickolas D Bowen, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN10000126.
Where does Dr. Nickolas D Bowen, DMD practice?
The practice location is 451 Clarkson Ave, Brooklyn, NY 11203-2054. The office can be reached at 407-242-7060 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073213625 directly on the NPPES registry website.