| 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 |
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 | |
Bowie Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14300 Gallant Fox Ln Ste 208, Bowie, MD 20715 Phone: 301-464-3500 | |
The Family Smile Shop, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3060 Mitchellville Rd Ste 213, Bowie, MD 20716 Phone: 301-350-3932 Fax: 301-350-7228 | |
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 |