Stafford Oral Surgery P.C.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

STAFFORD ORAL SURGERY P.C.

Practice address

481 Garrisonville Rd Ste 103
Stafford, VA 22554-1601

Phone

(540) 779-0170

NPI assigned

Jul 23, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Krystal D Flowers

Title

Finance Coordinator

Phone

(703) 304-1276

Specialties & licenses 1

Addresses

Other names 1

• Stafford Oral Surgery and Specialists Other name

Locations

Practitioners 1

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

• Ashraf Eid, DDS, MS, PHD

  • Endodontics
  • Stafford, VA
  • NPI 1740790369
  NPD (past)

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1639788862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13580 GROUPE DR STE 305",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924165",
            "telephone_number": "703-304-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 GARRISONVILLE RD STE 103",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541601",
            "telephone_number": "540-779-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD ORAL SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FINANCE COORDINATOR",
        "authorized_official_telephone_number": "703-304-1276",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stafford Oral Surgery and Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stafford Internal Medical Services, Inc.
• Stafford Investment Ventures, Inc
• Stafford Massage Center LLC
• Stafford Neurology
• Stafford Optometry, LLC
• Stafford Pediatrics, P.C.
• Stafford Physical Therapy, Inc.
• Stafford Primary Care Associates, Inc.
• Stafford Surgical, P.C.
• Stafford Urgent Care, Inc.

• Public Health Dentistry in Stafford, VA
• Providers in Stafford, VA by specialty
• Public Health Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.