Stafford Dental Associates

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401008767 Issued in VA

Legal business name

STAFFORD DENTAL ASSOCIATES

Practice address

20 Plantation Dr Ste 139
Fredericksburg, VA 22406-6493

Phone

(540) 368-2273

Fax

(540) 710-7403

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Miss Jessica Stanley

Title

Office Manager

Phone

(703) 369-2273

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1386875003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PLANTATION DR STE 139",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224066493",
            "telephone_number": "540-368-2273",
            "fax_number": "540-710-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PLANTATION DR STE 139",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224066493",
            "telephone_number": "540-368-2273",
            "fax_number": "540-710-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-369-2273",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401008767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaori St Julien, RBT
• Gillian St. Amour, RIC
• Allison St. Cyr, AGACNP-BC
• Alexis Stadsklev, DNP APRN CRNA
• Leedylyn H. Stadulis, M.D.
• Stafford Dental Care
• Stafford Healthcare Group, Inc.
• Stafford Home Healthcare
• Stafford II Healthcare Group, LLC
• Brielle Jean Stahulak, OTD, OTR/L

• Dental Clinic/Center in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.