Provider Demographics
NPI:1588760490
Name:NEAL-STUBBLEFIELD, MARGARET PRECIOUS (DDS)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:PRECIOUS
Last Name:NEAL-STUBBLEFIELD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9070 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:703-268-1272
Mailing Address - Fax:703-369-6121
Practice Address - Street 1:9070 DEVLIN RD
Practice Address - Street 2:
Practice Address - City:BRISTOW
Practice Address - State:VA
Practice Address - Zip Code:20136-1041
Practice Address - Country:US
Practice Address - Phone:703-268-1272
Practice Address - Fax:703-369-6121
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401410227122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist