Estafanous PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ESTAFANOUS PC

Doing business as

Stefano Dental Center

Practice address

13885 Hedgewood Dr Ste 225
Woodbridge, VA 22193-7931

Phone

(202) 644-8844

Fax

(202) 644-8844

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By 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. Emad Estafanous, DDS, MSD

Title

Prosthodontist

Phone

(317) 250-0043

Specialties & licenses 1

Addresses

Other names 1

• Stefano Dental Center Doing business as

Locations

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1912637562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13885 HEDGEWOOD DR STE 225",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937931",
            "telephone_number": "202-644-8844",
            "fax_number": "202-644-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13885 HEDGEWOOD DR STE 225",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937931",
            "telephone_number": "202-644-8844",
            "fax_number": "202-644-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTAFANOUS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "ESTAFANOUS",
        "authorized_official_first_name": "EMAD",
        "authorized_official_title_or_position": "PROSTHODONTIST",
        "authorized_official_telephone_number": "317-250-0043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stefano Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francisco T Escario, M.D.
• Rubia Escobar
• Nahal Esmaeili, D.C.
• Pendar Esmaeili, D.C.
• Essence Behavioral Health Services LLC
• Eterna Care LLC
• Lauren Elizabeth Ethridge, RN
• Emmanuel Oghenekaro Etuke Jr., LCPC
• Evana Health Services
• Deidre Evans

• Clinic/Center in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Clinic/Center in Virginia

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