Stafford Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

STAFFORD FAMILY DENTISTRY

Practice address

2221 W Walnut St
Garland, TX 75042-6665

Phone

(972) 272-3292

NPI assigned

Dec 6, 2013

Organization subpart

No

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

Authorized official

Name

Saosat Stafford

Title

Owner

Phone

(972) 272-3292

Specialties & licenses 1

Addresses

Other names 1

• Walnut Family Dentistry Doing business as

Tax ID family

Stafford Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stafford Family Dentistry

  • Dentist
  • Dallas, TX
  • NPI 1962752766
  NPD tax ID

Locations

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1972934552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 W WALNUT ST",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426665",
            "telephone_number": "972-272-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 W WALNUT ST",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426665",
            "telephone_number": "972-272-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "SAOSAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-272-3292"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Garland, TX
• Providers in Garland, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.