Organization Active NPI

Daniel Dafo DDS PLLC

  • General Practice Dentistry
  • Woodbridge, VA
National Provider Identifier
1104332295
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413934 Issued in VA
Legal business name
DANIEL DAFO DDS PLLC
Practice address
4391 Ridgewood Center Dr Unit 1C
Woodbridge, VA 22192-5399
Phone
(703) 382-6545
Fax
(703) 382-6548
NPI assigned
Dec 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daniel Dafo, DDSNPI 1477896785
Title
Owner
Phone
(703) 382-6545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401413934 VA Primary

Addresses

Primary practice location

4391 Ridgewood Center Dr Unit 1C
Woodbridge, VA 22192-5399

Mailing address

6534 Milva LN
Springfield, VA 22150-4268
Phone (304) 210-6044

Other names 1

  • Prince William Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4391 Ridgewood Center Dr
Unit 1C
Woodbridge, VA 22192
Phone (304) 210-6044

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1104332295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6534 MILVA LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221504268",
            "telephone_number": "304-210-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4391 RIDGEWOOD CENTER DR UNIT 1C",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925399",
            "telephone_number": "703-382-6545",
            "fax_number": "703-382-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL DAFO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "DAFO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-382-6545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prince William Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.