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Deactivated NPI 1447349220 Deactivated / Inactive NPI Male Practitioner

Charles Stavely

Dentist - General Practice • Pensacola, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charles Stavely has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 12, 2006
NPI Deactivation Date March 24, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Charles Stavely was a registered Dentist - General Practice practicing in Pensacola, FL. Throughout an active medical career spanning 17 years, Charles Stavely provided care at the practice location at 1560 AIRPORT BLVD until profile deactivation on 2023-03-24.

Practice Location & Contact Primary Location

Practice Address

1560 Airport Blvd

Pensacola, FL 325048616

Telephone 8504791677

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pensacola, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
96 Specialists

Practicing in Pensacola, 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 DN10394

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

1 Associated Practitioners
Victoria Clarke , APRN

Nurse Practitioner - Family

NPI 1558231159

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 24, 2023

Record deactivated on March 24, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1560 AIRPORT BLVD, PENSACOLA, FL 325048616 (Tel: 8504791677)

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Updated Business Mailing Address July 08, 2007

Registered at 1560 AIRPORT BLVD, PENSACOLA, FL 325048616 (Tel: 8504791677)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES STAVELY

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN10394 in FL)

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Initial NPI Registration & Enumeration October 12, 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: 1447349220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: July 08, 2007
Deactivation Date: March 24, 2023

Mailing Address

1560 Airport Blvd

Pensacola, FL 325048616

Phone: 8504791677

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.