Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1093708265 Deactivated / Inactive NPI Male Practitioner

Dr. Larry Bowden , DMD

Dentist - General Practice • Lake Oswego, OR

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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. Larry Bowden has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 23, 2005
NPI Deactivation Date March 27, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Bowden, DMD was a registered Dentist - General Practice practicing in Lake Oswego, OR. Throughout an active medical career spanning 1 years, Dr. Bowden provided care at the practice location at 17720 JEAN WAY until profile deactivation on 2006-03-27.

Practice Location & Contact Primary Location

Practice Address

17720 Jean Way

Lake Oswego, OR 970355394

Telephone 5036757300
Fax 5036757305
Associated Practice Facility / Clinic
🏢 Mark A. Petroff, Md Pc Facility NPI 1144365941

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lake Oswego, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
36 Specialists

Practicing in Lake Oswego, OR (1994 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D7907

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Mark Petroff , MD

Plastic Surgery - Plastic Surgery Within the Head and Neck

NPI 1528068129

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 17720 JEAN WAY, LAKE OSWEGO, OR 970355394 (Tel: 5036757300)

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Updated Business Mailing Address July 08, 2007

Registered at 17720 JEAN WAY, LAKE OSWEGO, OR 970355394 (Tel: 5036757300)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY BOWDEN, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D7907 in OR)

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NPI Profile Reactivated April 05, 2006

Record officially reactivated for active practice on April 05, 2006

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NPI Profile Deactivated March 27, 2006

Record deactivated on March 27, 2006

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Initial NPI Registration & Enumeration August 23, 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: 1093708265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2005
Last Update: July 13, 2026
Deactivation Date: March 27, 2006
Sole Proprietor: No

Mailing Address

17720 Jean Way

Lake Oswego, OR 970355394

Phone: 5036757300

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.