Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1962406322 Deactivated / Inactive NPI Male Practitioner

Dr. Eugene James Bowen , DDS

Dentist • Jamestown, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Eugene Bowen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 13, 2005
NPI Deactivation Date August 08, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Bowen, DDS was a registered Dentist practicing in Jamestown, CA. Throughout an active medical career spanning 12 years, Dr. Bowen provided care at the practice location at 5100 O'BYRNES FERRY ROAD until profile deactivation on 2017-08-08.

Practice Location & Contact Primary Location

Practice Address

5100 O'byrnes Ferry Road
Sierra Conservation Ranch

Jamestown, CA 95327

Telephone 2099845291
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jamestown, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
8 Specialists

Practicing in Jamestown, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 18964

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
NPI 1023290988

Doctor of Dental Surgery

NPI 1255302022

Doctor of Dental Surgery

Dr. Russell Park , PhD

Psychologist - Clinical

NPI 1326020710

Doctor of Philosophy (Ph.D.)

Alejandro Martinez , SOCIAL WORKER

Student in an Organized Health Care Education/Training Program

NPI 1356022040

SOCIALWORKER

NPI 1356521041

Doctor of Dental Surgery

NPI 1386985794

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 08, 2017

Record deactivated on August 08, 2017

NPI Profile Active April 27, 2010

NPI status registered as active in NPPES database

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Updated Practice Location April 27, 2010

Registered at 5100 O'BYRNES FERRY ROAD, SIERRA CONSERVATION RANCH, JAMESTOWN, CA 95327 (Tel: 2099845291)

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Updated Business Mailing Address April 27, 2010

Registered at 20608 RESORT RD, SONORA, CA 953709658 (Tel: 2095330449)

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Provider Name / Credentials Updated April 27, 2010

Recorded as EUGENE BOWEN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2010

Dentist (License #18964 in CA)

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Initial NPI Registration & Enumeration June 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962406322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2005
Last Update: April 27, 2010
Deactivation Date: August 08, 2017

Mailing Address

20608 Resort Rd

Sonora, CA 953709658

Phone: 2095330449

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.