Individual provider · Type 1 NPI
Douglas Yale Bowen, DMD, MPH
Pediatric Dentistry · Palmer, AK
NPI number
1114446564
Active
Practice location
809 S. Chugach St., Ste. #2
Palmer, AK 99645
Fax (907) 745-5338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | LL-455-17 (NV) |
| Pediatric Dentistry Primary | 1223P0221X | 149005 (AK) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1114446564
Douglas Yale Bowen, DMD, MPH's National Provider Identifier is 1114446564, issued on Sep 18, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Palmer, AK. The record was last updated on May 1, 2023.