Dr. Stuart Lee Graves
Oral and Maxillofacial Surgeon
5206 Lyngate Ct
Burke
, Virginia 22015-1631
Dr. Stuart Lee Graves
Oral and Maxillofacial Surgeon
5206 Lyngate Ct
Burke
, Virginia 22015-1631
(703) 323-7287
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Stuart Lee Graves
- 5206 Lyngate Ct
- Burke, VA
- Zip : 22015-1631
- Fax : (703) 323-7287
- Phone : (703) 425-5010
Second Address
- Dr. Stuart Lee Graves
- 5206 Lyngate Ct
- Burke, VA
- Zip : 22015-1631
- Fax : (703) 323-7287
- Phone : (703) 425-5010
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | VA |
National Provider Identifier
| NPI | 1003952003 |
|---|---|
| Provider Name | Dr. Stuart Lee Graves |
| First Address | Burke, VA 22015-1631 |
| Second Address | Burke, VA 22015-1631 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 209216 | ANTHEM BCBS (01) | VA |
| 347288 | UNITED CONCORDIA (01) | |
| 64390001 | CAREFIRST BCBS (01) | DC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.