| Roy D. Bower, Dmd, Llc | |
|
4201 Broadway St Suite C Mount Vernon IL 62864-2282 | |
| (618) 241-0353 | |
| Not Available |
| Full Name | Roy D. Bower, Dmd, Llc |
|---|---|
| Speciality | Dentist |
| Location | 4201 Broadway St, Mount Vernon, Illinois |
| Authorized Official Name and Position | Roy Bower (OWNER) |
| Authorized Official Contact | 6182413528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roy D. Bower, Dmd, Llc Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Roy D. Bower, Dmd, Llc 4201 Broadway St Suite C Mount Vernon IL 62864-2282 Ph: (618) 241-0353 |
| NPI Number | 1841682549 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 03/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841682549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23506 (Illinois) | Primary |
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