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STAFFORD PROSTHODONTICS PLLC
NPI 1720858061
Dentist - General Practice in Alexandria, VA

Active since January 08, 2024
5252 DAWES AVE, ALEXANDRIA, VA 22311(703) 933-8500(703) 933-8506 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stafford Prosthodontics Pllc NPPES

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

STAFFORD PROSTHODONTICS PLLC (NPI 1720858061), doing business as Innova Prosthodontics & Dental Implant Center, is a healthcare organization registered as a general practice in Alexandria, Virginia and active in the NPI registry since January 2024. The organization lists Elias Reategui, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1720858061
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTAFFORD PROSTHODONTICS PLLC
Location Address5252 DAWES AVEAlexandria, VA 22311-1404
Mailing Address5252 Dawes AveAlexandria, VA 22311-1404 · (703) 933-8500 · Fax (703) 933-8506
Phone(703) 933-8500
Fax(703) 933-8506
Organization SubpartNo
Authorized OfficialElias ReateguiOffice Manager · (703) 933-8500
Enumeration DateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1720858061 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.
5252 DAWES AVE, Alexandria, VA 22311
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Other Names 1

Doing Business AsInnova Prosthodontics & Dental Implant Center

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 3

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

GORAN DOSEN , DDS, PC
Dentist
5252 DAWES AVE
ALEXANDRIA, VA 22311
Alexandria City (703) 933-8500
SEBASTIAN M BOURONCLE DDS-3 ALEXANDRIA PLLC
Dentist (General Practice)
5252 DAWES AVE
ALEXANDRIA, VA 22311
Alexandria City (703) 933-8500
DR. GORAN DOSEN DDS
Dentist
5252 DAWES AVE
ALEXANDRIA, VA 22311
Alexandria City (703) 933-8500

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 Stafford Prosthodontics PLLC's NPI number?

The NPI number for Stafford Prosthodontics PLLC is 1720858061. It was assigned to this organization in the NPPES registry on January 8, 2024. The provider is doing business as Innova Prosthodontics & Dental Implant Center.

Where is Stafford Prosthodontics PLLC located?

Stafford Prosthodontics PLLC is located at 5252 Dawes Ave, Alexandria, VA 22311. The listed phone number is (703) 933-8500.

What is Stafford Prosthodontics 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 Stafford Prosthodontics PLLC was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.