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Deactivated NPI 1275541336 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen Frederick Bettes , DDS

Dentist - General Practice • Saint Louis, MO

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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, Dr. Stephen Bettes has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 04, 2006
NPI Deactivation Date June 16, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Bettes, DDS was a registered Dentist - General Practice practicing in Saint Louis, MO. Throughout an active medical career spanning 15 years, Dr. Bettes provided care at the practice location at 12647 OLIVE BLVD until profile deactivation on 2021-06-16.

Practice Location & Contact Primary Location

Practice Address

12647 Olive Blvd
Suite 600

Saint Louis, MO 631416345

Telephone 8003253982
Fax 8887519135
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
270 Specialists

Practicing in Saint Louis, MO (2113 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 GA DN011734

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

40 Associated Practitioners
Robert Vandeborne

Radiologic Technologist

NPI 1053864835
Denise Darden , NNP

Nurse Practitioner - Neonatal

NPI 1083684435
Mark Neuenschwander

Family Medicine

NPI 1093805251
Judith Karlmeier-Hamilton

Occupational Therapist

NPI 1093968455
Gregory Macdonald

Counselor - Addiction (Substance Use Disorder)

NPI 1104077296
Dr. Pamela Adams , MD

Obstetrics & Gynecology

NPI 1104116995

Doctor of Medicine (M.D.)

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 June 16, 2021

Record deactivated on June 16, 2021

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 12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 631416345 (Tel: 8003253982)

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Updated Business Mailing Address July 08, 2007

Registered at 4726 MAPLE RIDGE TRL, COLUMBUS, GA 319092038 (Tel: 7065687486)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN BETTES, DDS

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

Dentist (License #DN011734 in GA)

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Initial NPI Registration & Enumeration August 04, 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: 1275541336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2006
Last Update: July 08, 2007
Deactivation Date: June 16, 2021

Mailing Address

4726 Maple Ridge Trl

Columbus, GA 319092038

Phone: 7065687486

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.