| Riverside Ofs Pllc | |
|
740 E Main St Purcellville VA 20132-3128 | |
| (540) 404-8137 | |
| (540) 254-5714 |
| Full Name | Riverside Ofs Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 740 E Main St, Purcellville, Virginia |
| Authorized Official Name and Position | Dustin H Bowler (OWNER) |
| Authorized Official Contact | 5404048137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Ofs Pllc 740 E Main St Purcellville VA 20132-3128 Ph: (540) 404-8137 | Riverside Ofs Pllc 740 E Main St Purcellville VA 20132-3128 Ph: (540) 404-8137 |
| NPI Number | 1902699077 |
|---|---|
| Provider Enumeration Date | 05/22/2025 |
| Last Update Date | 05/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902699077 | NPI | - | NPPES |
| 0438000373 | Other | VA | ORAL MAXILLOFACIAL SURGEON REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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