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PRESTIGE PERIODONTICS BOWIE LLC
NPI 1518610781
Dentist - Periodontics in Bowie, MD

Active since January 28, 2022
4201 NORTHVIEW DR STE 501, BOWIE, MD 20716(301) 681-4812 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Prestige Periodontics Bowie Llc NPPES

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

PRESTIGE PERIODONTICS BOWIE LLC (NPI 1518610781) is a healthcare organization registered as a periodontics in Bowie, Maryland and active in the NPI registry since January 2022. The organization lists Duane Bennett, Member, as its authorized official.

NPPES Registry Identity

NPI1518610781
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePRESTIGE PERIODONTICS BOWIE LLC
Location Address4201 NORTHVIEW DR STE 501Bowie, MD 20716-2674
Mailing Address4201 Northview Dr Ste 501Bowie, MD 20716-2674 · (301) 681-4812
Phone(301) 681-4812
Organization SubpartYesParent: Prestige Periodontics Llc
Authorized OfficialDuane BennettMember · (301) 681-4812
Enumeration DateJanuary 28, 2022
NPPES CertifiedJanuary 28, 2022
✔ NPI 1518610781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4201 NORTHVIEW DR STE 501, Bowie, MD 20716
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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

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 Prestige Periodontics Bowie LLC's NPI number?

The NPI number for Prestige Periodontics Bowie LLC is 1518610781. It was assigned to this organization in the NPPES registry on January 28, 2022.

Where is Prestige Periodontics Bowie LLC located?

Prestige Periodontics Bowie LLC is located at 4201 Northview Dr Ste 501, Bowie, MD 20716. The listed phone number is (301) 681-4812.

What is Prestige Periodontics Bowie LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Prestige Periodontics Bowie LLC was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.