JESSE ALLEN STAFFORD (NPI# 1669786430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669786430 |
| Entity Type | Individual |
| Full Name | JESSE ALLEN STAFFORD |
| Credential | D.D.S. |
| Practice Address |
516 W Arapaho Rd Ste 103 Richardson TX 75080-4342 |
| Mailing Address |
7123 Summer Way San Antonio TX 78240-2459 |
| Practice Telephone | 9722315020 |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
9243 | NC | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
32443 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5919824 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316338361 | Jesse A Stafford | Physician Assistant | 346 N Main St, Decatur, AR 72722-9732 | 2015-02-12 |
| 1306896543 | Jesse Ray Stafford | Pathology | 8 Memorial Medical Ct, Suite 1, Greenville, SC 29605-4455 | 2006-05-10 |
| Street Address |
516 W ARAPAHO RD STE 103 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194377762 | Casa Mossman Dental Pllc | Dentist | 670 W Campbell Rd Ste 160, Richardson, TX 75080-3384 | 2019-07-12 |
| 1669039962 | Mint Dentistry, Pllc | Dentist | 3551 Wilshire Way Ste 500, Richardson, TX 75082-3390 | 2019-05-22 |
| 1609439181 | Praise Dental, Pllc | Dentist | 2000 N Plano Rd Ste 106, Richardson, TX 75082-4402 | 2019-04-19 |
| 1255891669 | Mint Dentistry, Pllc | Dentist | 4251 E Renner Rd Ste 126, Richardson, TX 75082-2753 | 2019-03-21 |
| 1043706435 | Blanca Dental Pllc | Dentist | 670 W Campbell Rd Ste 110, Richardson, TX 75080-3361 | 2018-07-09 |
| 1871086025 | Nazayat Parvez | Dentist | 700 E Campbell Rd Ste 240, Richardson, TX 75081-2042 | 2018-06-12 |
| 1811407828 | Fluellen Roberts Family Dentistry, Pllc | Dentist | 1050 W Campbell Rd Ste 200, Richardson, TX 75080-2981 | 2017-10-04 |
| 1174044895 | Rebecka Kay Haats | Dentist | 644 Brick Row Dr. Apt 3211, Richardson, TX 75081 | 2017-07-03 |
| 1730639766 | Maxey Stanton Buchwald Jr. | Dentist | 300 N Coit Rd Ste 245, Richardson, TX 75080-6261 | 2016-10-13 |
| 1679950851 | Laxmi Sai Dental Pllc | Dentist | 300 S Cottonwood Drive, Suite B, Richardson, TX 75080 | 2015-04-27 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.