IndividualActive
Earl Shufford, DDS
NPI 1619050283 · Oral and Maxillofacial Surgery (Dentist) · Colonial Heights, VA
Provider details
- NPI number
- 1619050283
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0401007981 (VA)
Specialties & taxonomies
Dental Providers
Practice location
3524 Boulevard
Colonial Heights, VA 23834-1320
Phone: (804) 520-4092
Fax: (804) 520-4093
Approximate (ZIP-level) locationGet directions
Mailing address
3524 Boulevard
Colonial Heights, VA 23834-1320
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.