OrganizationActive
Commonwealth of Virginia State Board of Health
NPI 1629089750 · Public Health Dentistry · Stafford, VA
Provider details
- NPI number
- 1629089750
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jane Krakowsky, Business Manager(540) 899-4797
Specialties & taxonomies
Dental Providers
Practice location
1739 Jefferson Davis Hwy
Stafford, VA 22554-7213
Phone: (540) 288-2579
Fax: (540) 288-3796
Approximate (ZIP-level) locationGet directions
Mailing address
608 Jackson St
Fredericksburg, VA 22401-5719
Other names (DBA / former)
- Doing business as
- Stafford Dental
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2008-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.