Provider Demographics
NPI:1477763753
Name:BOWLES, ARTHUR JR. GILBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR JR.
Middle Name:GILBERT
Last Name:BOWLES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 PACKARD ST
Mailing Address - Street 2:SUITE # 14
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-6392
Mailing Address - Country:US
Mailing Address - Phone:734-761-6630
Mailing Address - Fax:
Practice Address - Street 1:2223 PACKARD ST
Practice Address - Street 2:SUITE # 14
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-6392
Practice Address - Country:US
Practice Address - Phone:734-761-6630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0122361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice