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Deactivated NPI 1518050814 Deactivated / Inactive NPI Male Practitioner

Dr. Larry O Bowman , DDS

Dentist - General Practice • Ft Worth, TX

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

Registration / Start Date October 02, 2006
NPI Deactivation Date April 07, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Bowman, DDS was a registered Dentist - General Practice practicing in Ft Worth, TX. Throughout an active medical career spanning 14 years, Dr. Bowman provided care at the practice location at 901 ROBERTS CUT OFF RD until profile deactivation on 2020-04-07.

Practice Location & Contact Primary Location

Practice Address

901 Roberts Cut Off Rd

Ft Worth, TX 76114

Telephone 8177384141
Fax 8177384177
Associated Practice Facility / Clinic
🏢 River Oaks Family Dental Pllc Facility NPI 1104246438

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ft Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
29 Specialists

Practicing in Ft Worth, TX (10570 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 TX TX11474

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.

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 April 07, 2020

Record deactivated on April 07, 2020

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 901 ROBERTS CUT OFF RD, FT WORTH, TX 76114 (Tel: 8177384141)

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Updated Business Mailing Address July 08, 2007

Registered at 901 ROBERTS CUT OFF RD, FT WORTH, TX 76114 (Tel: 8177384141)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY BOWMAN, DDS

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

Dentist (License #TX11474 in TX)

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Initial NPI Registration & Enumeration October 02, 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: 1518050814
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: July 08, 2007
Deactivation Date: April 07, 2020

Mailing Address

901 Roberts Cut Off Rd

Ft Worth, TX 76114

Phone: 8177384141

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.