Advanced Dental Care of Stafford

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401413063 Issued in VA

Legal business name

ADVANCED DENTAL CARE OF STAFFORD

Doing business as

Advanced Dental Care of Stafford

Practice address

2052 Jefferson Davis Hwy Ste 103
Stafford, VA 22554-7286

Phone

(540) 288-2800

Fax

(540) 659-3536

NPI assigned

Jan 18, 2018

Last updated

Jan 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohamed ArafaNPI 1184931362

Title

Dentist/Owner

Phone

(540) 891-9911

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dental Care of Stafford Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohamed Arafa, DDS

  • General Acute Care Hospital
  • New York, NY
  • NPI 1184931362
  NPD Authorized official
• Yurim Jang

  • Dentist
  • Fredericksburg, VA
  • NPI 1558841593
  NPD (past)

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1144738626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10524 SPOTSYLVANIA AVE STE 104",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088611",
            "telephone_number": "540-891-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 JEFFERSON DAVIS HWY STE 103",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547286",
            "telephone_number": "540-288-2800",
            "fax_number": "540-659-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CARE OF STAFFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "ARAFA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "540-891-9911"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Care of Stafford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yetunde Adenle
• Andrea Adkins
• Adom Homecare,LLC
• Samantha Adornetto, PT, DPT
• Doris Woetsa Adovor, BSN
• Advanced Spine and Pain Centers
• Advanced Spine and Pain Centers
• Advanced Spine and Pain Centers, PLLC
• Advanced Spine and Pain Centers, PLLC
• Advanced Spine and Pain PLLC

• General Practice Dentistry in Stafford, VA
• Providers in Stafford, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.