Junior Smiles of Stafford PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

1447676887 Issued in VA

Legal business name

JUNIOR SMILES OF STAFFORD PLLC

Practice address

963 Garrisonville Rd
Suite 103
Stafford, VA 22556-3906

Phone

(540) 699-2441

NPI assigned

Oct 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Fahd Yousaf, DDS

Title

Owner

Phone

(540) 699-2441

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Julissa E Burgos, DMD

  • General Practice Dentistry
  • Stafford, VA
  • NPI 1417570250
  NPD (past)

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1285184036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 GARRISONVILLE RD",
            "address_2": "SUITE 103",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563906",
            "telephone_number": "540-699-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 GARRISONVILLE RD",
            "address_2": "SUITE 103",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563906",
            "telephone_number": "540-699-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIOR SMILES OF STAFFORD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "YOUSAF",
        "authorized_official_first_name": "FAHD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-699-2441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "1447676887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Stafford, VA
• Providers in Stafford, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.