| Prestige Periodontics Bowie Llc | |
|
4201 Northview Dr Ste 501 Bowie MD 20716-2674 | |
| (301) 681-4812 | |
| Not Available |
| Full Name | Prestige Periodontics Bowie Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4201 Northview Dr Ste 501, Bowie, Maryland |
| Authorized Official Name and Position | Duane Bennett (MEMBER) |
| Authorized Official Contact | 3016814812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Periodontics Bowie Llc 4201 Northview Dr Ste 501 Bowie MD 20716-2674 Ph: (301) 681-4812 | Prestige Periodontics Bowie Llc 4201 Northview Dr Ste 501 Bowie MD 20716-2674 Ph: (301) 681-4812 |
| NPI Number | 1518610781 |
|---|---|
| Provider Enumeration Date | 01/28/2022 |
| Last Update Date | 01/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518610781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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