Individual provider · Type 1 NPI

Brodie Len Bowman, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Fort Walton Beach, FL

NPI number 1952392052 Active

Practice location

28 Racetrack Rd NW
Fort Walton Beach, FL 32547-1640

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN 16286 (FL)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X9750 (CO)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1952392052

Brodie Len Bowman, DMD's National Provider Identifier is 1952392052, issued on Oct 31, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Feb 4, 2013.