Stafford Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STAFFORD DENTAL CARE

Practice address

159 Lichfield Blvd
Suite 107
Fredericksburg, VA 22401

Phone

(540) 373-2273

Fax

(540) 373-9233

NPI assigned

Dec 11, 2006

Last updated

Aug 22, 2020By 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

Dr. Marvin L Marshall Jr., DR DDSNPI 1871770131

Title

Owner

Phone

(540) 373-2273

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Marvin Lloyd Marshall Jr.

  • General Practice Dentistry
  • Fredericksburg, VA
  • NPI 1871770131
  NPD (past) Authorized official
• Josemari Deleon Imao, DDS

  • General Practice Dentistry
  • Fredericksburg, VA
  • NPI 1841444965
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780744557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 LICHFIELD BLVD",
            "address_2": "SUITE 107",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22406",
            "telephone_number": "540-373-2273",
            "fax_number": "540-373-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 LICHFIELD BLVD",
            "address_2": "SUITE 107",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-373-2273",
            "fax_number": "540-373-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-373-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DR DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian St. Amour, RIC
• Allison St. Cyr, AGACNP-BC
• Alexis Stadsklev, DNP APRN CRNA
• Leedylyn H. Stadulis, M.D.
• Stafford Dental Associates
• Stafford Healthcare Group, Inc. (Falls Run Nursing and Rehabilitation)
• Stafford Home Healthcare
• Stafford II Healthcare Group, LLC (Berea Health & Rehab Center)
• Brielle Jean Stahulak, OTD, OTR/L
• Athena Staik, LMFT

• General Practice Dentistry in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.