Provider Demographics
NPI:1235223330
Name:BOWE, THOMAS P JR (D D S)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:P
Last Name:BOWE
Suffix:JR
Gender:M
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 PROFESSIONAL DR # A
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-3330
Mailing Address - Country:US
Mailing Address - Phone:757-229-5570
Mailing Address - Fax:757-259-0719
Practice Address - Street 1:1118 PROFESSIONAL DR # A
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-3330
Practice Address - Country:US
Practice Address - Phone:757-229-5570
Practice Address - Fax:757-259-0719
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401002851122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0000000235147OtherANTHEM
VA763008OtherUNITED CONCORDIA INS.