OrganizationActive
Stafford Oral Surgery P.C.
NPI 1639788862 · Public Health Dentistry · Stafford, VA
Provider details
- NPI number
- 1639788862
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Authorized official
- Krystal Flowers, Finance Coordinator
Practice location
481 Garrisonville Rd Ste 103
Stafford, VA 22554-1601
Phone: (540) 779-0170
Mailing address
13580 Groupe Dr Ste 305
Woodbridge, VA 22192-4165
Registry dates
- Enumerated
- 2020-07-23
- Last updated
- 2020-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.