# DR OLIVIA STALLARDS DOWNTOWN DENTAL PLLC

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

## Provider details

- **NPI number:** 1689420127
- **Authorized official:** OLIVIA STALLARD (CEO)
- **Authorized official phone:** (276) 298-6961

## Contact information

- **Practice address:** 616 MARKET PL SW, NORTON, VA 24273-2500
- **Practice address phone:** (276) 325-0194
- **Mailing address:** 616 MARKET PL SW, NORTON, VA 24273-2500

## Taxonomy

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

## Other

- **Enumeration date:** 04/25/2024
- **Last updated:** 01/14/2025