OrganizationActive
Stafford Prosthodontics PLLC
NPI 1720858061 · General Practice Dentistry · Alexandria, VA
Stafford Prosthodontics PLLC is a General Practice Dentistry organization in Alexandria, VA (NPI 1720858061).
Provider details
- NPI number
- 1720858061
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Elias Reategui, Office Manager(703) 933-8500
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5252 Dawes Ave
Alexandria, VA 22311-1404
Phone: (703) 933-8500
Fax: (703) 933-8506
Street-level locationGet directions
Mailing address
5252 Dawes Ave
Alexandria, VA 22311-1404
Other names (DBA / former)
- Doing business as
- Innova Prosthodontics & Dental Implant Center
Registry dates
- Enumerated
- 2024-01-08
- Last updated
- 2024-01-08
- Certified
- 2024-01-08
Frequently asked questions
- What is Stafford Prosthodontics PLLC's NPI number?
- Stafford Prosthodontics PLLC's National Provider Identifier (NPI) is 1720858061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stafford Prosthodontics PLLC?
- Stafford Prosthodontics PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Stafford Prosthodontics PLLC located?
- Stafford Prosthodontics PLLC's practice location on file with NPPES is 5252 Dawes Ave, Alexandria, VA 22311-1404.
- What is Stafford Prosthodontics PLLC's phone number?
- The practice phone number listed in the NPPES registry for Stafford Prosthodontics PLLC is (703) 933-8500.
- Who is the authorized official for Stafford Prosthodontics PLLC?
- The authorized official listed on Stafford Prosthodontics PLLC's NPPES record is Elias Reategui, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stafford Prosthodontics PLLC's NPI active?
- Yes — Stafford Prosthodontics PLLC's NPI (1720858061) is active in the NPPES registry as of the last update on 2024-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.