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Benjamin Bowen, DDS — NPI 1447379003, Moscow, ID | NPI Central

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NPI 1447379003

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Benjamin Bowen, DDS

NPI 1447379003 · Dentist · Moscow, ID

Provider details

NPI number: 1447379003
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: D3904 (ID)

Specialties & taxonomies

DentistPrimary122300000XLicense D3904 (ID)
Dental Providers

Practice location

1215 E 6th St

Moscow, ID 83843-3705

Phone: (208) 882-6570

Fax: (208) 882-6570

Approximate (ZIP-level) locationGet directions

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Mailing address

1215 E 6th St

Moscow, ID 83843-3705

Registry dates

Enumerated: 2007-03-28
Last updated: 2024-05-16
Certified: 2024-05-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.