| 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 |