NPIMap

Organization Active NPI

Stafford G Conley Jr DDS PC

  • General Practice Dentistry
  • Bowie, MD
National Provider Identifier
1801218524
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14231 Issued in MD
Legal business name
STAFFORD G CONLEY JR DDS PC
Practice address
1540 Pointer Ridge PL
Suite a
Bowie, MD 20716-1881
Phone
(301) 218-2454
Fax
(301) 218-2455
NPI assigned
Jan 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Dr. Stafford Garfield Conley Jr., DDSNPI 1275713505
Title
Owner
Phone
(301) 218-2454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14231 MD Primary

Addresses

Primary practice location

1540 Pointer Ridge PL
Suite a
Bowie, MD 20716-1881

Mailing address

1540 Pointer Ridge PL
Suite a
Bowie, MD 20716-1881
Phone (301) 218-2454

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1801218524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 POINTER RIDGE PL",
            "address_2": "SUITE A",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161881",
            "telephone_number": "301-218-2454",
            "fax_number": "301-218-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 POINTER RIDGE PL",
            "address_2": "SUITE A",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161881",
            "telephone_number": "301-218-2454",
            "fax_number": "301-218-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD G CONLEY JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "STAFFORD",
        "authorized_official_middle_name": "GARFIELD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-218-2454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.