# DR. MICHAEL DOUGLAS STAFFORD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1184864027
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0102 | MP | — |
| 122300000X | Dentist | D8320 | OR | — |
| 122300000X | Dentist | DE60338396 | WA | Yes |

## Other

- **Enumeration date:** 03/05/2009
- **Last updated:** 01/15/2024