STAFFORD DENTAL CARE (NPI# 1780744557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780744557 |
| Entity Type | Organization |
| Organization Name | STAFFORD DENTAL CARE |
| Practice Address |
159 Lichfield Blvd Suite 107 Fredericksburg VA 22401 |
| Mailing Address |
159 Lichfield Blvd Suite 107 Fredericksburg VA 22406 |
| Practice Telephone | 5403732273 |
| Practice Fax Number | 5403739233 |
| Mailing Telephone | 5403732273 |
| Mailing Fax Number | 5403739233 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARVIN L MARSHALL JR. (OWNER) |
| Authorized Official Telephone | 5403732273 |
| Authorized Official Credential | DR DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
159 LICHFIELD BLVD SUITE 107 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841444965 | Josemari Deleon Imao | Dentist | 159 Lichfield Blvd, Suite 107, Fredericksburg, VA 22406 | 2008-11-17 |
| 1871770131 | Marvin Lloyd Marshall Jr. | Dentist | 159 Lichfield Blvd, Suite 107, Fredericksburg, VA 22406-8427 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609224567 | Yosreldin Koheil Dds Plc | Dentist | 10040 Jefferson Davis Hwy, Ste 112, Fredericksburg, VA 22407-9431 | 2016-06-01 |
| 1902235211 | Kwesi Gill | Dentist | 927 Maple Grove Dr Ste 111, Fredericksburg, VA 22407-6936 | 2013-11-06 |
| 1023385663 | Neibauer Dental Care, PC | Dentist | 9859 Jefferson Davis Hwy, Fredericksburg, VA 22407-9422 | 2011-11-28 |
| 1760789796 | Quality Dental, Pllc | Dentist | 5100 Southpoint Pkwy, Fredericksburg, VA 22407-2661 | 2011-02-28 |
| 1861797326 | Tamesha Morris Dds PC | Dentist | 3904 N Andover Ln, Fredericksburg, VA 22408-7742 | 2011-01-14 |
| 1619299849 | Wayne L Whitley | Dentist | 433 Bridgewater St, Fredericksburg, VA 22401-3347 | 2010-02-15 |
| 1932432770 | John Ryan Bailey | Dentist | 10705 Courthouse Rd Ste 118, Fredericksburg, VA 22407-7797 | 2009-09-11 |
| 1407098197 | Carter Milan Waller | Dentist | 1417 Parcell St, Fredericksburg, VA 22401-4616 | 2009-03-27 |
| 1932374683 | Fredericksburg Dental Care | Dentist | 10620 Courthouse Rd, Fredericksburg, VA 22407-1602 | 2008-04-24 |
| 1538330741 | Lawrence Phillips | Dentist | 974 Bragg Rd, Fredericksburg, VA 22407-6979 | 2008-03-14 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.