Ashraf Eid, DDS, MS, PHD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401415745 Issued in VA

Practice address

481 Garrisonville Rd Ste 103
Stafford, VA 22554-1601

Phone

(540) 779-0170

NPI assigned

Oct 10, 2017

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stafford Oral Surgery P.C.

  • Public Health Dentistry
  • Stafford, VA
  • NPI 1639788862
  NPD (past)

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1740790369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 GARRISONVILLE RD STE 103",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541601",
            "telephone_number": "540-779-0170"
        },
        {
            "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": {
        "last_name": "EID",
        "first_name": "ASHRAF",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401415745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Echevarria
• Krystal Karin Edmonds, M.ED., BCBA, LBA
• Jennifer Edmunds, OTR/L
• Eileen Edwards
• Lonnice Nicole Edwards
• Taylor Ann Ekanger
• Rita El Khoury, DMD
• El Olam LLC
• Allison Marie Elegbe, P.T.
• Tasnaim Elfaki, RBT

• Endodontics in Stafford, VA
• Providers in Stafford, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.