# NAMU DENTAL STAFFORD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417898743
- **Authorized official:** ERICA COOK (OFFICE MANAGER)
- **Authorized official phone:** (281) 723-1175

## Contact information

- **Practice address:** 400 CORPORATE DR STE 200, STAFFORD, VA 22554-4898
- **Practice address phone:** (540) 288-9212
- **Mailing address:** 400 CORPORATE DR STE 200, STAFFORD, VA 22554-4898
- **Mailing address phone:** (540) 288-9212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2026
- **Last updated:** 04/02/2026