Dr Olivia Stallards Downtown Dental Pllc is a medicare enrolled dental clinic (Dentist) in Norton, Virginia. The current practice location for Dr Olivia Stallards Downtown Dental Pllc is 616 Market Pl Sw, Norton, Virginia. For appointments, you can reach them via phone at
(276) 325-0194. The mailing address for Dr Olivia Stallards Downtown Dental Pllc is 616 Market Pl Sw, Norton, Virginia and phone number is () -.
Dr Olivia Stallards Downtown Dental Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1689420127. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(276) 325-0194.
Dental Care Clinic Profile
| Full Name | Dr Olivia Stallards Downtown Dental Pllc |
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| Speciality | Dentist |
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| Location | 616 Market Pl Sw, Norton, Virginia |
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| Authorized Official Name and Position | Olivia Stallard (CEO) |
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| Authorized Official Contact | 2762986961 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Olivia Stallards Downtown Dental Pllc
616 Market Pl Sw
Norton
VA 24273-2500
Ph: () - | Dr Olivia Stallards Downtown Dental Pllc
616 Market Pl Sw
Norton
VA 24273-2500
Ph: (276) 325-0194 |
NPI Details:
| NPI Number | 1689420127 |
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| Provider Enumeration Date | 04/25/2024 |
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| Last Update Date | 01/14/2025 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4486180809 |
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| Medicare Enrollment ID | O20241209003818 |
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Medical Identifiers
Medical identifiers for Dr Olivia Stallards Downtown Dental Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689420127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Dr Olivia Stallards Downtown Dental Pllc acts as a billing entity for following providers:
| Provider Name | Olivia Stallard |
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| Provider Type | Practitioner - Dentist |
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| Provider Identifiers | NPI Number: 1972127074
PECOS PAC ID: 5395271712
Enrollment ID: I20241209003872 |
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