person
Charles Raymond Bowen, DMD
Oral and Maxillofacial Surgery (Dentist) in Middlebury, Vermont
NPI 1750397980

Charles Raymond Bowen is a Oral and Maxillofacial Surgery (Dentist) based in Middlebury, VT and is specialized in Oral and Maxillofacial Surgery. Charles Raymond Bowen practices in Middlebury, VT and has the professional credentials of DMD. The NPI Number for Charles Raymond Bowen is 1750397980 and holds a License No. 0160000507 (Vermont).

The current practice location address for Charles Raymond Bowen is 58 Court St, Middlebury, VT and can be reached out via phone at 802-388-6344 and via fax at 802-388-4103.

Location: 58 Court St, Middlebury, VT, 05753-4450
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Provider Profile Details
NPI Number
1750397980
Provider Name
Charles Raymond Bowen
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
58 Court St, Middlebury, VT, 05753-4450
Phone Number
802-388-6344
Fax Number
802-388-4103
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02500030 05 NY
1565 01 VT BLUE CROSS
102V102 01 VT MVP
1565 05 VT
institution
Provider Business Practice Location Address Details
Address
58 Court St
City
State
Zip
05753-4450
Phone Number
802-388-6344
Fax Number
802-388-4103
person
Provider Business Mailing Address Details
Address
58 Court St
City
State
Zip
05753-4450
Phone Number
802-388-6344
Fax Number
802-388-4103
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
0160000507 (Vermont)
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.
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