Provider Demographics
NPI:1003958026
Name:STONE, RICHARD T (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:T
Last Name:STONE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 E OXFORD AVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22301-1333
Mailing Address - Country:US
Mailing Address - Phone:703-548-5042
Mailing Address - Fax:503-548-2832
Practice Address - Street 1:203 EAST OXFORD AVENUE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22301-1333
Practice Address - Country:US
Practice Address - Phone:703-548-5042
Practice Address - Fax:703-548-2832
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAAS2559877122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist