Provider Demographics
NPI:1881906659
Name:BOWER, SCOTT LINDON (DDS)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:LINDON
Last Name:BOWER
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 1:2323 SUGAR PL
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-7638
Mailing Address - Country:US
Mailing Address - Phone:801-718-3464
Mailing Address - Fax:
Practice Address - Street 1:1795 W 500 S
Practice Address - Street 2:SUITE B-3
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-3186
Practice Address - Country:US
Practice Address - Phone:801-489-1301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8334279-99231223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry