JESSE ALLEN STAFFORD D.D.S. NPI 1669786430

NPI Information

NPI: 1669786430
Provider Name: JESSE ALLEN STAFFORD, D.D.S.
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
516 W ARAPAHO RD STE 103
RICHARDSON, TX
ZIP 75080
Phone: (972) 231-5020
Get Directions

Jesse Allen Stafford, D.D.S. is a prosthodontics dentist in Richardson, TX. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. Jesse Allen Stafford, D.D.S. NPI is 1669786430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

516 W ARAPAHO RD STE 103
RICHARDSON, TX
ZIP 75080-342
Phone: (972) 231-5020

The enumeration date for this NPI number is 8/3/2010 and was last updated on 1/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0700X	Dentist	Prosthodontics	9243	NORTH CAROLINA	Yes
2	1223P0700X	Dentist	Prosthodontics	32443	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5919824	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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