Provider Demographics
NPI:1912029695
Name:MARGARET P. NEAL-STUBBLEFIELD, DDS
Entity Type:Organization
Organization Name:MARGARET P. NEAL-STUBBLEFIELD, DDS
Other - Org Name:GAINESVILLE FAMILY DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:P
Authorized Official - Last Name:NEAL-STUBBLEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-368-1272
Mailing Address - Street 1:9070 DEVLIN RD STE 120
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136-1042
Mailing Address - Country:US
Mailing Address - Phone:703-368-1272
Mailing Address - Fax:703-369-6121
Practice Address - Street 1:9070 DEVLIN RD STE 120
Practice Address - Street 2:
Practice Address - City:BRISTOW
Practice Address - State:VA
Practice Address - Zip Code:20136-1042
Practice Address - Country:US
Practice Address - Phone:703-368-1272
Practice Address - Fax:703-369-6121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014102271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty