Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144655143 Individual Practitioner Female Practitioner

Dr. Stephanie Burgess Chaves , DDS

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Chaves, DDS is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at 10601 SAN JOSE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10601 San Jose Blvd
Suite 116

Jacksonville, FL 322578232

Telephone 9044833027

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, FL

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

Practicing in Jacksonville, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN20398

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
009691200 (FL)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Chin Park

Dentist - General Practice

NPI 1063904449
Dr. Juhi Goyal , DMD

Dentist - General Practice

NPI 1174452916

Doctor of Dental Medicine

Dr. Paul Miller , DMD

Dentist - General Practice

NPI 1356781397

Doctor of Dental Medicine

Dr. Andrew Lafont , DDS

Dentist - General Practice

NPI 1609276146

Doctor of Dental Surgery

Dr. Francis Alip , DMD

Dentist - General Practice

NPI 1609752351

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 10, 2014

Registered at 10601 SAN JOSE BLVD, SUITE 116, JACKSONVILLE, FL 322578232 (Tel: 9044833027)

📍
Updated Business Mailing Address December 10, 2014

Registered at 2054 RIVERSIDE AVE, APT. 5207, JACKSONVILLE, FL 322044428 (Tel: 3042902722)

👤
Provider Name / Credentials Updated December 10, 2014

Recorded as STEPHANIE CHAVES, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2014

Dentist (License #DN20398 in FL)

🟢
Initial NPI Registration & Enumeration September 09, 2013

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: 1144655143
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2013
Last Update: December 10, 2014
Sole Proprietor: No

Mailing Address

2054 Riverside Ave, Apt. 5207

Jacksonville, FL 322044428

Phone: 3042902722

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.