Daniel Dafo, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

4038 Issued in WV

Practice address

4391 Ridgewood Center Dr Unit 1C
Woodbridge, VA 22192-5399

Phone

(304) 210-6044

Fax

(703) 382-6548

NPI assigned

Apr 4, 2013

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 21, 2015 through Sep 21, 2027

Medicare enrollment (NPD)

Not enrolled

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.

• Daniel Dafo DDS PLLC

  dba Prince William Family Dental

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1104332295
  NPD (past) Authorized official
• Dumfries Dental Care PLLC

  dba Prince William Family Dental

  • General Practice Dentistry
  • Dumfries, VA
  • NPI 1396242277
  NPD (past) Authorized official
• Daniel Dafo,DDS, Inc.

  • Dentist
  • Vienna, WV
  • NPI 1861800591
  NPD (past) Authorized official

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477896785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4391 RIDGEWOOD CENTER DR UNIT 1C",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925399",
            "telephone_number": "304-210-6044",
            "fax_number": "703-382-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4391 RIDGEWOOD CENTER DR UNIT 1C",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925399",
            "telephone_number": "304-210-6044",
            "fax_number": "703-382-6548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 Saint Pauls Ln",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051503",
            "country_code": "US",
            "telephone_number": "304-210-6044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAFO",
        "first_name": "DANIEL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.