# STEPHEN J MAYO DDS & RYAN C MAYO DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mayo Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275632143
- **Authorized official:** MS. KAROLYN I. MOSHER (PATIENT RELATIONS COORDINATOR)
- **Authorized official phone:** (703) 777-3510

## Contact information

- **Practice address:** 22 DAVIS AVE SW, LEESBURG, VA 20175
- **Practice address phone:** (703) 777-3510
- **Practice address fax:** (703) 777-9488
- **Mailing address:** 22 DAVIS AVE SW, LEESBURG, VA 20175
- **Mailing address phone:** (703) 777-3510
- **Mailing address fax:** (703) 777-9488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 07/18/2008