Saosat Maria Olatunbosun Stafford, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

23931 Issued in TX

Practice address

3704 W. Campwisdom Rd. Ste. 120
Dallas, TX 75237

Phone

(972) 709-4867

NPI assigned

Jul 9, 2008

Last updated

Mar 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Saosat Maria Stafford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stafford Family Enterprises

  dba WOW Dental

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1295272045
  NPD

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1285897256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 W. CAMPWISDOM RD. STE. 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "972-709-4867",
            "fax_number": "214-594-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 W. CAMPWISDOM RD. STE. 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "972-709-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLATUNBOSUN STAFFORD",
        "first_name": "SAOSAT",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAOSAT",
            "last_name": "STAFFORD",
            "middle_name": "MARIA",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenny O Olaleye, AGACNP-BC
• Elizabeth K. Olang, LPC
• Kabir Oladipo Olaniran, MD, MPH
• Oluwayeni Ajoke Olanlesi-Abraham, DPT
• Jose Enrique Olascoaga, MD
• Deborah M Olay, RPH
• Myrna Dalia Olaya
• Bolanle Basirat Olayiwole, PMHNP
• Madeline Olazaran, FNP-C
• Old Town Endoscopy Center LLC (Digestive Health Center of Dallas)

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.