Provider Demographics
NPI:1902190507
Name:BOWMAN, LEANNE ZAHID (DMD)
Entity Type:Individual
Prefix:DR
First Name:LEANNE
Middle Name:ZAHID
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1907 RAINBOW DR
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5505
Mailing Address - Country:US
Mailing Address - Phone:256-467-6000
Mailing Address - Fax:256-485-4545
Practice Address - Street 1:1907 RAINBOW DR
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5505
Practice Address - Country:US
Practice Address - Phone:256-467-6000
Practice Address - Fax:256-485-4545
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL58311223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL149520Medicaid