Provider Demographics
NPI:1184826760
Name:BOWDEN, JONATHON SMYTHE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JONATHON
Middle Name:SMYTHE
Last Name:BOWDEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 EGLANTINE AVE
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-2309
Mailing Address - Country:US
Mailing Address - Phone:609-730-9754
Mailing Address - Fax:
Practice Address - Street 1:4 WALTER E FORAN BLVD
Practice Address - Street 2:SUITE 305
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4664
Practice Address - Country:US
Practice Address - Phone:908-782-5076
Practice Address - Fax:908-782-3275
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI020977001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice