Provider Demographics
NPI:1174908347
Name:BOWERS, KATHRYN H (DMD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:H
Last Name:BOWERS
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 1:1220 N PLEASANTBURG DRIVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607
Mailing Address - Country:US
Mailing Address - Phone:864-322-5051
Mailing Address - Fax:864-322-5281
Practice Address - Street 1:1220 N PLEASANTBURG DRIVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607
Practice Address - Country:US
Practice Address - Phone:864-322-5051
Practice Address - Fax:864-322-5281
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-29
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC8602122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist