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 |
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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 |
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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 |
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Provider Enumeration Date | 04/25/2024 |
Last Update Date | 01/14/2025 |
Medicare PECOS PAC ID | 4486180809 |
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Medicare Enrollment ID | O20241209003818 |
Identifier | Type | State | Issuer |
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1689420127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
Provider Name | Olivia Stallard |
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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 |