Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043862006 Individual Practitioner Male Practitioner

Dr. Seth Stacey , DDS

Dentist • Beaumont, CA

Professional Overview & Biography Verified Profile Summary

Dr. Seth Stacey, DDS is a registered healthcare professional specializing in Dentist in Beaumont, CA. Practice services are available at 1620 E 2ND ST STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1620 E 2nd St Ste A

Beaumont, CA 922233171

Telephone 9517699131
Associated Practice Facility / Clinic
🏢 Moore Dental Corporation Facility NPI 1174774699

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Beaumont, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
14 Specialists

Practicing in Beaumont, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-01
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 103955

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License CO DEN.00205527

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

1217 Diamond Cir Unit 1

Lafayette, CO 800269330

Phone: 3034490116

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1487215729
NPI 1619749942

Doctor of Dental Surgery

NPI 1780366500

Doctor of Dental Surgery

NPI 1932583986

Doctor of Dental Surgery

NPI 1982152534

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2023

Dentist (License #DEN.00205527 in CO)

NPI Profile Active July 10, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2019

Registered at 1620 E 2ND ST STE A, BEAUMONT, CA 922233171 (Tel: 9517699131)

📍
Updated Business Mailing Address July 10, 2019

Registered at 1510 ORANGE AVE APT 301, REDLANDS, CA 923731493 (Tel: 9702159779)

👤
Provider Name / Credentials Updated July 10, 2019

Recorded as SETH STACEY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2019

Dentist (License #103955 in CA)

🟢
Initial NPI Registration & Enumeration July 10, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043862006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2019
Last Update: May 01, 2023
Sole Proprietor: No

Mailing Address

1510 Orange Ave Apt 301

Redlands, CA 923731493

Phone: 9702159779

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.