# S. RAI. DDS.,P.C.

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

## Provider details

- **NPI number:** 1871695650
- **Authorized official:** SHIVAPRASANNA RAI DDS (PRESIDENT)
- **Authorized official phone:** (540) 657-0867

## Contact information

- **Practice address:** 239 GARRISONVILLE RD, 102, STAFFORD, VA 22554-1554
- **Practice address phone:** (540) 657-0867
- **Mailing address:** 239 GARRISONVILLE RD, 102, STAFFORD, VA 22554-1554
- **Mailing address phone:** (540) 657-0867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401007933 | VA | Yes |

## Other

- **Enumeration date:** 09/02/2006
- **Last updated:** 08/22/2020