Ssd - Stafford PLLC
NPI 1376349803ActiveOrganization· Dentist, General Practice· Stafford, VA
Dentist, General Practice in Stafford, Virginia, registered in NPPES in February 2025. The authorized official on file is Chad Hendricks, Credentialing.
Overview
| NPI | 1376349803 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 24, 2025 |
| Last updated in NPPES | Feb 24, 2025 |
| Certified by provider | Feb 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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