BOWIE DENTAL GROUP LLC
NPI 1093279176
Dentist - General Practice in Bowie, MD

Active since January 23, 2019
14300 GALLANT FOX LN STE 208, BOWIE, MD 20715(301) 464-3500 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bowie Dental Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOWIE DENTAL GROUP LLC (NPI 1093279176), doing business as Gallant Fox Dental, is a healthcare organization registered as a general practice in Bowie, Maryland and active in the NPI registry since January 2019. The organization lists Stanley Park, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1093279176
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOWIE DENTAL GROUP LLC
Location Address14300 GALLANT FOX LN STE 208Bowie, MD 20715-4033
Mailing Address14300 Gallant Fox Ln Ste 208Bowie, MD 20715-4033 · (301) 464-3500
Organization SubpartNo
Authorized OfficialStanley ParkOwner/member · (301) 464-3500
Enumeration DateJanuary 23, 2019
NPI 1093279176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
14300 GALLANT FOX LN STE 208, Bowie, MD 20715

Other Names 1

Doing Business AsGallant Fox Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
14300 GALLANT FOX LN STE 208
BOWIE, MD 20715
Dentist (General Practice)
14300 GALLANT FOX LN STE 208
BOWIE, MD 20715

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bowie Dental Group LLC's NPI number?

The NPI number for Bowie Dental Group LLC is 1093279176. It was assigned to this organization in the NPPES registry on January 23, 2019. The provider is doing business as Gallant Fox Dental.

Where is Bowie Dental Group LLC located?

Bowie Dental Group LLC is located at 14300 Gallant Fox Ln Ste 208, Bowie, MD 20715. The listed phone number is (301) 464-3500.

What is Bowie Dental Group LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bowie Dental Group LLC was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.