| Dr Olivia Stallards Downtown Dental Pllc | |
|
616 Market Pl Sw Norton VA 24273-2500 | |
| (276) 325-0194 | |
| Not Available |
| Full Name | Dr Olivia Stallards Downtown Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 616 Market Pl Sw, Norton, Virginia |
| Authorized Official Name and Position | Olivia Stallard (CEO) |
| Authorized Official Contact | 2762986961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Olivia Stallards Downtown Dental Pllc 616 Market Pl Sw Norton VA 24273-2500 Ph: () - | Dr Olivia Stallards Downtown Dental Pllc 616 Market Pl Sw Norton VA 24273-2500 Ph: (276) 325-0194 |
| NPI Number | 1689420127 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 01/14/2025 |
| Medicare PECOS PAC ID | 4486180809 |
|---|---|
| Medicare Enrollment ID | O20241209003818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689420127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Olivia Stallard |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972127074 PECOS PAC ID: 5395271712 Enrollment ID: I20241209003872 |
Clisso Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Park Ave Ne, Norton, VA 24273 Phone: 276-679-6030 Fax: 276-679-6030 | |
Dr. N. Carroll Mullins, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 728 Commonwealth Dr, Norton, VA 24273 Phone: 276-679-7171 Fax: 276-679-7222 |