Provider Demographics
NPI:1932243193
Name:BOWMAN, CHRISTIAN M (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:M
Last Name:BOWMAN
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 1:2084 SPRINGWOOD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-4835
Mailing Address - Country:US
Mailing Address - Phone:717-854-3310
Mailing Address - Fax:717-854-8111
Practice Address - Street 1:2084 SPRINGWOOD RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4835
Practice Address - Country:US
Practice Address - Phone:717-854-3310
Practice Address - Fax:717-854-8111
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADSO350471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice