Provider Demographics
NPI:1790845394
Name:CAPP & BOWMAN
Entity Type:Organization
Organization Name:CAPP & BOWMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:CAPPS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:252-752-1111
Mailing Address - Street 1:1609 W ARLINGTON BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834
Mailing Address - Country:US
Mailing Address - Phone:252-752-1111
Mailing Address - Fax:252-752-9851
Practice Address - Street 1:1609 W ARLINGTON BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-752-1111
Practice Address - Fax:252-752-9851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty