Satfford Gentle Dental

Primary specialty

DentistTaxonomy code 122300000X

License

0401411108 Issued in VA

Legal business name

SATFFORD GENTLE DENTAL

Doing business as

Stafford Gentle Touch Dentistry

Practice address

2777 Jefferson Davis Hwy
Unit 117
Stafford, VA 22554-8323

Phone

(703) 933-2634

NPI assigned

Apr 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Nagalatha Gollapalli, DDS

Title

Owner/Dentist

Phone

(703) 944-2634

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stafford Gentle Touch Dentistry Doing business as

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1437503075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 JEFFERSON DAVIS HWY",
            "address_2": "UNIT 117",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548323",
            "telephone_number": "703-933-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 JEFFERSON DAVIS HWY",
            "address_2": "UNIT 117",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548323",
            "telephone_number": "703-933-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATFFORD GENTLE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "GOLLAPALLI",
        "authorized_official_first_name": "NAGALATHA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "703-944-2634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE",
            "identifier": "0401411108",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stafford Gentle Touch Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Elizabeth Santos
• Yogesh Sapre
• Saumitra Saravana, D.M.D.
• Magno Porter Sartorio
• Sasan Ahmadiyar DDS & Associates
• Sauda Nickels
• Kellyanne Savage, LCSW
• Bark-Wende Amira Sawadogo
• Dana Scatchard, MS, CCC-SLP
• Ellen Anne Schaefer, MS OTR/L

• 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 Apr 20, 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.