Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073213625 Individual Practitioner Male Practitioner

Dr. Nickolas Dominic Ottey Bowen , DMD

Dentist • Brooklyn, NY

Professional Overview & Biography Verified Profile Summary

Dr. Nickolas Bowen, DMD is a registered healthcare professional specializing in Dentist in Brooklyn, NY. Practice services are available at 451 CLARKSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

451 Clarkson Ave

Brooklyn, NY 112032054

Telephone 4072427060
Associated Practice Facility / Clinic
🏢 Kings County Hospital Facility NPI 1013996560

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.9 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
711 Specialists

Practicing in Brooklyn, NY (6355 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

CMS Verified: 2024-05-25
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MA DN10000126

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID American Dental Association Dentpin
71958091

Secondary Practice Locations

1795 Main St Ste 212

Springfield, MA 011031015

Phone: 4133584391

Practice Associates & Co-Workers

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

40 Associated Practitioners
Georgette Jones , LCSW

Social Worker - Clinical

NPI 1003163502

Licensed Clinical Social Worker

Dr. Ninad Desai , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1003892902

Doctor of Medicine (M.D.)

Barbara Henderson , RRT

General Acute Care Hospital

NPI 1013126275

Registered Respiratory Therapist

NPI 1013253772

Doctor of Medicine (M.D.)

NPI 1013340322

Doctor of Psychology (Psy.D.)

Dr. Lydie Mckenzie , MD

Emergency Medicine

NPI 1013653997

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address May 25, 2024

Registered at 33 HILLCREST PARK APT A, SOUTH HADLEY, MA 010752976 (Tel: 4072427060)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2024

Dentist (License #DN10000126 in MA)

NPI Profile Active March 03, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2023

Registered at 451 CLARKSON AVE, BROOKLYN, NY 112032054 (Tel: 4072427060)

📍
Updated Business Mailing Address March 03, 2023

Registered at 331 N 40TH ST APT 2B, PHILADELPHIA, PA 191045494 (Tel: 4072427060)

👤
Provider Name / Credentials Updated March 03, 2023

Recorded as NICKOLAS BOWEN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 03, 2023

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: 1073213625
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2023
Last Update: May 25, 2024
Sole Proprietor: No

Mailing Address

33 Hillcrest Park Apt A

South Hadley, MA 010752976

Phone: 4072427060

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.