Stuart Lee Graves in Burke - Oral And Maxillofacial Surgery

Stuart Lee Graves - NPI 1003952003

Stuart Lee Graves is a Oral And Maxillofacial Surgery in Burke, Virginia. Stuart Lee Graves practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Stuart Lee Graves is 1003952003. The last update date is 2007-07-08.

Stuart Lee Graves's current location address is 5206 Lyngate Ct, Burke, Virginia. You can contact this provider via phone number 7034255010 and fax number 7033237287. The mailing address for Stuart Lee Graves is 5206 Lyngate Ct, Burke, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Stuart Lee Graves
Address 5206 Lyngate Ct, Burke, Virginia
Phone Number 7034255010
Fax Number 7033237287
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1003952003
Provider Enumeration Date 2007-01-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5206 Lyngate Ct
City Burke
State Virginia (VA)
Post Code 220151631
Phone Number 7034255010
Fax Number 7033237287

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
347288 UNITED CONCORDIA
64390001 DC CAREFIRST BCBS
209216 VA ANTHEM BCBS

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FAQs about Stuart Lee Graves

What is the unique provider identifier assigned to Stuart Lee Graves?

The Stuart Lee Graves has been issued the NPI (National Provider Identifier) 1003952003 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Stuart Lee Graves's facilities are geographically located?

The facilities of Stuart Lee Graves are physically situated at the following location: 5206 Lyngate Ct, Burke, VA, 220151631.

What is the area of specialization for Stuart Lee Graves, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Stuart Lee Graves is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.

On what date did the Stuart Lee Graves receive its 1003952003 assignment from the Centers for Medicare & Medicaid Services?

The Stuart Lee Graves was assigned its 1003952003 by the Centers for Medicare & Medicaid Services on 2007-01-29.

When was the information pertaining to Stuart Lee Graves most recently updated or revised?

The details related to Stuart Lee Graves, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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