| Ssd - Stafford Pllc | |
|
12 Pga Dr Suite 201 Stafford VA 22554 | |
| (540) 720-2627 | |
| Not Available |
| Full Name | Ssd - Stafford Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12 Pga Dr, Stafford, Virginia |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssd - Stafford Pllc 12 Pga Dr Suite 201 Stafford VA 22554 Ph: (540) 720-2627 | Ssd - Stafford Pllc 12 Pga Dr Suite 201 Stafford VA 22554 Ph: (540) 720-2627 |
| NPI Number | 1376349803 |
|---|---|
| Provider Enumeration Date | 02/24/2025 |
| Last Update Date | 02/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376349803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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