Prince George Cosmetic & Family Dentistry, Pc | |
5727 Allin Rd Prince George VA 23875-2343 | |
(804) 862-4416 | |
(804) 862-4428 |
Full Name | Prince George Cosmetic & Family Dentistry, Pc |
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Speciality | Dentist - General Practice |
Location | 5727 Allin Rd, Prince George, Virginia |
Authorized Official Name and Position | Shannon Gill Bowman (PRESIDENT) |
Authorized Official Contact | 8048624416 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prince George Cosmetic & Family Dentistry, Pc 5727 Allin Rd Prince George VA 23875-2343 Ph: (804) 862-4416 | Prince George Cosmetic & Family Dentistry, Pc 5727 Allin Rd Prince George VA 23875-2343 Ph: (804) 862-4416 |
NPI Number | 1336382522 |
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Provider Enumeration Date | 04/17/2009 |
Last Update Date | 04/17/2009 |
Identifier | Type | State | Issuer |
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1336382522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 0401410885 (Virginia) | Primary |
Commonwealth Dentistry - Prince George Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5727 Allin Rd, Prince George, VA 23875 Phone: 804-315-2916 |