Organization
RIVERSIDE OFS PLLC
Active
Other names
Purcellville Oral and Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN H BOWLER DDS (OWNER)
(540) 404-8137
Entity
Organization
Contact information
Practice address
740 E MAIN ST, PURCELLVILLE, VA 20132-3128
(540) 404-8137
(540) 254-5714
Mailing address
740 E MAIN ST, PURCELLVILLE, VA 20132-3128
(540) 404-8137
(540) 254-5714
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0438000373
ORAL MAXILLOFACIAL SURGEON REGISTRATION
VA
Enumeration date
05/22/2025
Last updated
05/22/2025
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