Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366404113 Individual Practitioner Female Practitioner

Dr. Jodi Kodish-Stav , DDS

Dentist - General Practice • Davie, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jodi Kodish-Stav, DDS is a registered healthcare professional specializing in Dentist - General Practice in Davie, FL. Practice services are available at 3200 S UNIVERSITY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3200 S University Dr

Davie, FL 333282018

Telephone 9542627214
Fax 9542627355
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Davie, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
64 Specialists

Practicing in Davie, FL (7473 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: 2022-10-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN0009253

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.

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Antonio Godoy , DDS, MS

Dentist - Prosthodontics

NPI 1013149863

Doctor of Dental Surgery, Master of Science

Dr. Alejandro Ibarra , DDS

Dentist - Prosthodontics

NPI 1093089773

Doctor of Dental Surgery

Carmen Bonilla

Dentist - Endodontics

NPI 1306394176
NPI 1306627880

Doctor of Dental Surgery

Chin-Yu Lin

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1396944260
NPI 1497864078

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address October 24, 2022

Registered at 3200 S UNIVERSITY DR, DAVIE, FL 333282018 (Tel: 9542621920)

NPI Profile Active August 27, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2011

Registered at 3200 S UNIVERSITY DR, DAVIE, FL 333282018 (Tel: 9542627214)

📍
Updated Business Mailing Address August 27, 2011

Registered at 1550 PONCE DE LEON DR, FORT LAUDERDALE, FL 333161324 (Tel: 9544010440)

👤
Provider Name / Credentials Updated August 27, 2011

Recorded as JODI KODISH-STAV, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2011

Dentist (License #DN0009253 in FL)

🟢
Initial NPI Registration & Enumeration April 05, 2006

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: 1366404113
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2006
Last Update: October 24, 2022
Sole Proprietor: No

Mailing Address

3200 S University Dr

Davie, FL 333282018

Phone: 9542621920

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.