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Deactivated NPI 1063582161 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel Robert Bowden , DDS

Dentist - General Practice • Memphis, TN

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

Registration / Start Date November 08, 2006
NPI Deactivation Date May 07, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Bowden, DDS was a registered Dentist - General Practice practicing in Memphis, TN. Throughout an active medical career spanning 15 years, Dr. Bowden provided care at the practice location at 5350 POPLAR AVE until profile deactivation on 2021-05-07.

Practice Location & Contact Primary Location

Practice Address

5350 Poplar Ave
Suite 450

Memphis, TN 381193699

Telephone 9017611767
Associated Practice Facility / Clinic
🏢 Southern Eye Associates, Pc Facility NPI 1932107455

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
236 Specialists

Practicing in Memphis, TN (2175 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 TN DS3249

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

7 Associated Practitioners
Joseph Carter

Registered Nurse - Home Health

NPI 1083044754
Susan Erdman , LCSW

Social Worker - Clinical

NPI 1154310548

Licensed Clinical Social Worker

Ann Finch , LCSW

Social Worker - Clinical

NPI 1386704872

Licensed Clinical Social Worker

Brian Long , MS

Counselor - Professional

NPI 1548259930

Master of Science

Sue Banister , MS

Counselor - Professional

NPI 1689663072

Master of Science

Eliabeth Mandel-Carley , LCSW, LMFT

Social Worker - Clinical

NPI 1790904910

Licensed Clinical Social Worker, Licensed Marriage and Family Therapist

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 May 07, 2021

Record deactivated on May 07, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5350 POPLAR AVE, SUITE 450, MEMPHIS, TN 381193699 (Tel: 9017611767)

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Updated Business Mailing Address July 08, 2007

Registered at 5350 POPLAR AVE, SUITE 450, MEMPHIS, TN 381193699 (Tel: 9017611767)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DANIEL BOWDEN, D.D.S.

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

Dentist (License #DS3249 in TN)

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Initial NPI Registration & Enumeration November 08, 2006

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: 1063582161
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2006
Last Update: July 08, 2007
Deactivation Date: May 07, 2021

Mailing Address

5350 Poplar Ave, Suite 450

Memphis, TN 381193699

Phone: 9017611767

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.