Matthew W Stafford DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MATTHEW W STAFFORD DDS, PC

Practice address

151 Le Gordon Dr Ste 100
Midlothian, VA 23114-4333

Phone

(804) 379-9177

NPI assigned

Feb 15, 2022

Organization subpart

Yes

Parent organization

MIDLOTHIAN DENTAL ARTSAs reported in NPPES

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

Authorized official

Name

Matthew W Stafford

Title

Dentist

Phone

(804) 337-6884

Specialties & licenses 1

Addresses

Other names 1

• Central Virginia Dental Care Other name

Part of

Matthew W Stafford DDS PC

Locations

Practitioners 1

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

• Mathew Stafford, DDS

  • Dentist
  • Midlothian, VA
  • NPI 1295096253
  NPD

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1891440103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 LE GORDON DR STE 100",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144333",
            "telephone_number": "804-379-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 LE GORDON DR STE 100",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144333",
            "telephone_number": "804-379-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW W STAFFORD DDS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDLOTHIAN DENTAL ARTS",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "804-337-6884"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Virginia Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Mathews, LCSW
• Elizabeth Mathias
• Yaitza Enid Matos, O.D.
• Jennifer Matovich, PSYD
• Courtney Owen Mattes, D.P.T.
• Keith Anthony Matthews
• Sandra Mattos
• Genevieve R. Matulin, MSN, NP-C
• Antonio Mauri, D.D.S.
• Kayla May

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.