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SSD - STAFFORD PLLC
NPI 1376349803
Dentist - General Practice in Stafford, VA

Active since February 24, 2025
12 PGA DR, SUITE 201, STAFFORD, VA 22554(540) 720-2627 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ssd - Stafford Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SSD - STAFFORD PLLC (NPI 1376349803), doing business as Stafford Smile Design, is a healthcare organization registered as a general practice in Stafford, Virginia and active in the NPI registry since February 2025. The organization lists Chad Hendricks, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1376349803
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSSD - STAFFORD PLLC
Location Address12 PGA DR, SUITE 201Stafford, VA 22554
Mailing Address12 Pga Dr, Suite 201Stafford, VA 22554 · (540) 720-2627
Phone(540) 720-2627
Organization SubpartNo
Authorized OfficialChad HendricksCredentialing · (612) 859-0444
Enumeration DateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1376349803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12 PGA DR, Stafford, VA 22554
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Other Names 1

Doing Business AsStafford Smile Design

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RITA EL KHOURY DMD
Dentist (General Practice)
12 PGA DR, SUITE 201
STAFFORD, VA 22554
Stafford County (540) 720-2627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ssd - Stafford PLLC's NPI number?

The NPI number for Ssd - Stafford PLLC is 1376349803. It was assigned to this organization in the NPPES registry on February 24, 2025. The provider is doing business as Stafford Smile Design.

Where is Ssd - Stafford PLLC located?

Ssd - Stafford PLLC is located at 12 Pga Dr Suite 201, Stafford, VA 22554. The listed phone number is (540) 720-2627.

What is Ssd - Stafford PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ssd - Stafford PLLC was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.