Provider Demographics
NPI:1831246115
Name:ATTREED, ELIZABETH M (DDS, PC)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:M
Last Name:ATTREED
Suffix:
Gender:F
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2832 JEFFERSON DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-1735
Mailing Address - Country:US
Mailing Address - Phone:540-659-5161
Mailing Address - Fax:540-720-2288
Practice Address - Street 1:2832 JEFFERSON DAVIS HWY
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-1735
Practice Address - Country:US
Practice Address - Phone:540-659-5161
Practice Address - Fax:540-720-2288
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010071261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice