Provider Demographics
NPI:1669503330
Name:BOWERS, WILLIAM MARC (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MARC
Last Name:BOWERS
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:PO BOX 1407
Mailing Address - Street 2:PO BOX 1407
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29641-1407
Mailing Address - Country:US
Mailing Address - Phone:864-306-0600
Mailing Address - Fax:864-306-0700
Practice Address - Street 1:801 BRUSHY CREEK RD
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29642-2203
Practice Address - Country:US
Practice Address - Phone:864-306-0600
Practice Address - Fax:864-306-0700
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3689, 6071223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics