Dr Olivia Stallards Downtown Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR OLIVIA STALLARDS DOWNTOWN DENTAL PLLC

Practice address

616 Market PL SW
Norton, VA 24273-2500

Phone

(276) 325-0194

NPI assigned

Apr 25, 2024

Last updated

Jan 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olivia StallardNPI 1972127074

Title

Ceo

Phone

(276) 298-6961

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olivia Stallard, DMD

  • Dentist
  • Wise, VA
  • NPI 1972127074
  NPD Authorized official

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1689420127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 MARKET PL SW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242732500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 MARKET PL SW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242732500",
            "telephone_number": "276-325-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR OLIVIA STALLARDS DOWNTOWN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "STALLARD",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "276-298-6961"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diagnostic Imaging Inc
• Dickenson County Home Health and Hospice, Inc (Patient First Home Care)
• Suraj Divecha, MD
• William Boone Dotten, BS IN PHARMACY
• Lance C Dozier, M.D.
• Dr. N. Carroll Mullins, D.D.S., P.C. (Designing Smiles Cosmetic Dental Centre)
• Shahab M Ehtesham, MD
• Uzma Ehtesham, MD
• Ahmad Elkhouly, MD
• Julia Faye Ellestad, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.