Douglas Scott Stafford, D.m.d., P.a.

NPI #1528505583 in Brandon, Florida

Provider Information

NPI Number: 1528505583
Entity Type: Organization
Organization Name: Douglas Scott Stafford, D.m.d., P.a.
Primary Specialty: Dentist
Enumeration Date: Jan 27, 2017
Last Updated: Jan 27, 2017

Practice Location

Address: 1090 E BRANDON BLVD
City: Brandon
State: Florida
ZIP Code: 33511-5509
Phone: (813) 655-9900

Authorized Official

Name: DR. DOUGLAS SCOTT STAFFORD, D.M.D.
Title: OWNER
Phone: (813) 655-9900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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