Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205100815 Individual Practitioner Male Practitioner

Dr. Stephen Matthew Ceolla , DDS

Dentist • Usaf Academy, CO

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Ceolla, DDS is a registered healthcare professional specializing in Dentist in Usaf Academy, CO. Practice services are available at 4102 PINION DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4102 Pinion Dr

Usaf Academy, CO 808402502

Telephone 7193335192
Associated Practice Facility / Clinic
🏢 10th Medgrp-Academy Facility NPI 1780657239

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Usaf Academy, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 9.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Usaf Academy, CO (2100 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D13136

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License None 1

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

28 Associated Practitioners
Dr. Jacob Mack , DMD

Dentist - General Practice

NPI 1003544842

Doctor of Dental Medicine

NPI 1023502671

Doctor of Dental Medicine

Lenka Serdar

Student in an Organized Health Care Education/Training Program

NPI 1053252429
Douglas Chan

Student in an Organized Health Care Education/Training Program

NPI 1114868890
Dr. Andrew Benfield , DMD, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1134460405

Doctor of Dental Medicine, Master of Science

Lauren Buschur

Dentist - General Practice

NPI 1164363792

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location December 04, 2019

Registered at 4102 PINION DR, USAF ACADEMY, CO 808402502 (Tel: 7193335192)

📍
Updated Business Mailing Address December 04, 2019

Registered at 4102 PINION DR, USAF ACADEMY, CO 808402502 (Tel: 7193335192)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2019

Dentist (License #D13136 in MN)

📍
Updated Practice Location May 16, 2018

Registered at 3458 NEELY RD, JB MDL, NJ 08641 (Tel: 2624244664)

📍
Updated Business Mailing Address May 16, 2018

Registered at 3458 NEELY RD, JB MDL, NJ 086415312 (Tel: 2624244664)

NPI Profile Active February 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 28, 2012

Registered at 515 DELAWARE ST SE, MINNEAPOLIS, MN 554550357 (Tel: 6126252495)

📍
Updated Business Mailing Address February 28, 2012

Registered at 515 DELAWARE ST SE, MINNEAPOLIS, MN 554550357 (Tel: 6126252495)

👤
Provider Name / Credentials Updated February 28, 2012

Recorded as STEPHEN CEOLLA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2012

Student in an Organized Health Care Education/Training Program (License #1 in None)

🟢
Initial NPI Registration & Enumeration February 28, 2012

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: 1205100815
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2012
Last Update: December 04, 2019
Sole Proprietor: No

Mailing Address

4102 Pinion Dr

Usaf Academy, CO 808402502

Phone: 7193335192

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.