# BOWIE ORAL AND FACIAL SURGERY CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bowie Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972081313
- **Authorized official:** NKEMAKONAM EGOLUM DDS (OWNER)
- **Authorized official phone:** (202) 460-0635

## Contact information

- **Practice address:** 4175 N HANSON CT STE 200, BOWIE, MD 20716
- **Practice address phone:** (301) 760-4660
- **Mailing address:** 4175 N HANSON CT STE 200, BOWIE, MD 20716-3180
- **Mailing address phone:** (301) 383-9883
- **Mailing address fax:** (301) 349-1447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 16204 | MD | Yes |

## Other

- **Enumeration date:** 07/28/2018
- **Last updated:** 07/30/2018