Provider Demographics
NPI:1770877359
Name:VARNEY, STEPHEN WILLIAM (DDS)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:WILLIAM
Last Name:VARNEY
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 1:5215 LOUGHBORO RD NW STE 450
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2627
Mailing Address - Country:US
Mailing Address - Phone:202-244-5792
Mailing Address - Fax:202-244-5795
Practice Address - Street 1:5215 LOUGHBORO RD NW STE 450
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2627
Practice Address - Country:US
Practice Address - Phone:202-244-5792
Practice Address - Fax:202-244-5795
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN1001020122300000X, 1223G0001X
MD14943122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist