MEDICARE: MARGARET P. NEAL-STUBBLEFIELD, 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	1223G0001X	General Practice Dentistry	0401410227	VA

General Provider Information

NPI Number	:	1912029695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGARET P. NEAL-STUBBLEFIELD, DDS

Provider Business Mailing Address
First Line	:	9070 DEVLIN RD STE 120
Second Line	:
City	:	BRISTOW
State	:	VA
Zip	:	20136-1042
Country	:	US
Telephone Number	:	703-368-1272
Fax Number	:	703-369-6121

Provider Business Practice Location Address
First Line	:	9070 DEVLIN RD STE 120
Second Line	:
City	:	BRISTOW
State	:	VA
Zip	:	20136-1042
Country	:	US
Telephone Number	:	703-368-1272
Fax Number	:	703-369-6121

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	MARGARET P NEAL-STUBBLEFIELD
Credential	:	DDS
Telephone Number	:	703-368-1272

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	02/16/2024

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