Provider Demographics
NPI:1982741922
Name:SHOWMAN, BJ (DMD)
Entity Type:Individual
Prefix:
First Name:BJ
Middle Name:
Last Name:SHOWMAN
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 1:55 ERIEVIEW PLZ
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-1837
Mailing Address - Country:US
Mailing Address - Phone:216-241-4303
Mailing Address - Fax:216-241-3996
Practice Address - Street 1:55 ERIEVIEW PLZ
Practice Address - Street 2:SUITE 200
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-1837
Practice Address - Country:US
Practice Address - Phone:216-241-4303
Practice Address - Fax:216-241-3996
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH177591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice