Prince George Cosmetic & Family Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410885 Issued in VA

Legal business name

PRINCE GEORGE COSMETIC & FAMILY DENTISTRY, PC

Practice address

5727 Allin Rd
Prince George, VA 23875-2343

Phone

(804) 862-4416

Fax

(804) 862-4428

NPI assigned

Apr 17, 2009

Last updated

Apr 17, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shannon Gill Bowman, DDS

Title

President

Phone

(804) 862-4416

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1336382522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 ALLIN RD",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238752343",
            "telephone_number": "804-862-4416",
            "fax_number": "804-862-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5727 ALLIN RD",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238752343",
            "telephone_number": "804-862-4416",
            "fax_number": "804-862-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE GEORGE COSMETIC & FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "GILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-862-4416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Powell, NP
• Susan M. Powroznik, PT, DPT
• Premier Service Medical Transportation
• Katelyn Sara Prencavage, MOT OTR/L
• Prime Care Family Practice, P.C.
• Prince George County (Prince George County Fire and EMS)
• Prince George County Public Schools
• Prince George Pharmacy Inc
• Pure Path Counseling LLC
• Helen Lanier Ramirez

• General Practice Dentistry in Prince George, VA
• Providers in Prince George, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.