| 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 | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| Provider Enumeration Date | 04/17/2009 | 
| Last Update Date | 04/17/2009 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336382522 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401410885 (Virginia) | Primary | 
Riccobene & Associates Cc, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5727 Allin Rd, Prince George, VA 23875 Phone: 804-315-2916  |