| Bowie Dental Group Llc | |
|
14300 Gallant Fox Ln Ste 208 Bowie MD 20715-4033 | |
| (301) 464-3500 | |
| Not Available |
| Full Name | Bowie Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14300 Gallant Fox Ln Ste 208, Bowie, Maryland |
| Authorized Official Name and Position | Stanley Park (OWNER/MEMBER) |
| Authorized Official Contact | 3014643500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowie Dental Group Llc 14300 Gallant Fox Ln Ste 208 Bowie MD 20715-4033 Ph: (301) 464-3500 | Bowie Dental Group Llc 14300 Gallant Fox Ln Ste 208 Bowie MD 20715-4033 Ph: (301) 464-3500 |
| NPI Number | 1093279176 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 01/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093279176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Marc G. Geballa, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6911 Laurel Bowie Rd, Suite 313, Bowie, MD 20715 Phone: 301-262-1400 Fax: 301-262-0827 | |
Gary P Ludka D D S P A Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4373 Northview Dr, Bowie, MD 20716 Phone: 301-464-8707 Fax: 301-464-4609 | |
Harold Packman, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14999 Health Center Dr, Suite 110, Bowie, MD 20716 Phone: 301-262-2800 Fax: 301-262-6411 | |
Cho, Formica, Love & Associates, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 Superior Ln, Bowie, MD 20715 Phone: 301-262-3535 Fax: 301-464-3478 | |
Sharon Russell Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14300 Gallant Fox Ln Ste 220, Bowie, MD 20715 Phone: 301-967-0183 Fax: 301-576-5800 | |
Ronald F Moser, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14300 Gallant Fox Ln, Suite 208, Bowie, MD 20715 Phone: 301-464-3500 Fax: 301-262-3594 |