Provider Demographics
NPI:1386773919
Name:BOWMAN, ELMER LEON SR (DDS)
Entity type:Individual
Prefix:DR
First Name:ELMER
Middle Name:LEON
Last Name:BOWMAN
Suffix:SR
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 1:2737A DEVONSHIRE PLACE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008
Mailing Address - Country:US
Mailing Address - Phone:202-232-1116
Mailing Address - Fax:
Practice Address - Street 1:2737A DEVONSHIRE PLACE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008
Practice Address - Country:US
Practice Address - Phone:202-232-1116
Practice Address - Fax:202-232-1911
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC22281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice