MEDICARE: DR. RICHARD T. STONE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	AS2559877	VA

General Provider Information

NPI Number	:	1003958026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD T. STONE DDS

Provider Business Mailing Address
First Line	:	203 E OXFORD AVE
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22301-1333
Country	:	US
Telephone Number	:	703-548-5042
Fax Number	:	503-548-2832

Provider Business Practice Location Address
First Line	:	203 EAST OXFORD AVENUE
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22301-1333
Country	:	US
Telephone Number	:	703-548-5042
Fax Number	:	703-548-2832

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	07/08/2007

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