Riverside Ofs PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

RIVERSIDE OFS PLLC

Doing business as

Purcellville Oral and Facial Surgery

Practice address

740 E Main St
Purcellville, VA 20132-3128

Phone

(540) 404-8137

Fax

(540) 254-5714

NPI assigned

May 22, 2025

Last updated

May 22, 2025By 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. Dustin H Bowler, DDSNPI 1033544937

Title

Owner

Phone

(540) 404-8137

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Purcellville Oral and Facial Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dustin Bowler, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Glen Allen, VA
  • NPI 1033544937
  NPD (past) Authorized official

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1902699077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E MAIN ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323128",
            "telephone_number": "540-404-8137",
            "fax_number": "540-254-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E MAIN ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323128",
            "telephone_number": "540-404-8137",
            "fax_number": "540-254-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE OFS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "BOWLER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-404-8137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORAL MAXILLOFACIAL SURGEON REGISTRATION",
            "identifier": "0438000373",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purcellville Oral and Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Purcellville, VA
• Providers in Purcellville, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.