| Playtime Pediatric Dentistry And Orthodontics,pllc | |
|
1130 Stafford Market Pl # 101 Stafford VA 22556-4524 | |
| (571) 200-0663 | |
| Not Available |
| Full Name | Playtime Pediatric Dentistry And Orthodontics,pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1130 Stafford Market Pl # 101, Stafford, Virginia |
| Authorized Official Name and Position | Sasha Lovette Gross (OPERATIONS MANAGER) |
| Authorized Official Contact | 2406013932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Playtime Pediatric Dentistry And Orthodontics,pllc 14573 Potomac Mills Rd Woodbridge VA 22192-6808 Ph: (703) 499-9779 | Playtime Pediatric Dentistry And Orthodontics,pllc 1130 Stafford Market Pl # 101 Stafford VA 22556-4524 Ph: (571) 200-0663 |
| NPI Number | 1073304358 |
|---|---|
| Provider Enumeration Date | 05/15/2025 |
| Last Update Date | 05/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073304358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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