Provider Demographics
NPI:1144433038
Name:BOWSER, THOMAS GABRIEL III (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:GABRIEL
Last Name:BOWSER
Suffix:III
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 1:7240 GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4800
Mailing Address - Country:US
Mailing Address - Phone:330-758-3446
Mailing Address - Fax:
Practice Address - Street 1:7240 GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-4800
Practice Address - Country:US
Practice Address - Phone:330-758-3446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH155421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice