Stafford General Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STAFFORD GENERAL DENTISTRY

Practice address

2400 Wales Ave NW
Massillon, OH 44646-0804

Phone

(330) 832-7434

Fax

(330) 832-2828

NPI assigned

Jul 31, 2019

Last updated

Jul 31, 2019By 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

Dr. Corey Stafford

Title

Dentist/Memeber

Phone

(330) 832-7434

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1205480886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WALES AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446460804",
            "telephone_number": "330-832-7434",
            "fax_number": "330-832-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WALES AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446460804",
            "telephone_number": "330-832-7434",
            "fax_number": "330-832-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD GENERAL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "DENTIST/MEMEBER",
        "authorized_official_telephone_number": "330-832-7434",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Sommers
• Valrie Sommerville, DOU.000278 STATE OHI
• Hannah Speckhart
• Sprenger Health Care of Massillon SNF, Inc
• Steven D Sproat, CDCA-PRE
• Christian Moneth Stallard, LPN
• Kevin Ralph Stanich, DDS
• Stark County Foot & Ankle Clinic
• Stark County Surgeons, Inc
• Stark Medical Specialist 2LLC

• Dental Clinic/Center in Massillon, OH
• Providers in Massillon, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.