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Active NPI 1558467399 Individual Practitioner Female Practitioner

Dr. Stacey Michele Blume-Soper , DMD

Dentist - General Practice • Cincinnati, OH

Professional Overview & Biography Verified Profile Summary

Dr. Stacey Blume-Soper, DMD is a registered healthcare professional specializing in Dentist - General Practice in Cincinnati, OH. Practice services are available at 4030 SMITH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4030 Smith Rd
Suite 225

Cincinnati, OH 452091957

Telephone 5138718488
Fax 5138718490
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cincinnati, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
332 Specialists

Practicing in Cincinnati, OH (4287 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 OH 25387

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License KY 2173

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

3 Associated Practitioners
Dr. Ilmar Ezis , DDS

Dentist - General Practice

NPI 1295835809

Doctor of Dental Surgery

Abhishek Patel , BDS, MSD

Dentist - Periodontics

NPI 1588003768
Dr. Andrew Race , DMD, MS

Dentist - Periodontics

NPI 1821668567

Doctor of Dental Medicine, Master of Science

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4030 SMITH RD, SUITE 225, CINCINNATI, OH 452091957 (Tel: 5138718488)

📍
Updated Business Mailing Address July 08, 2007

Registered at 644 OVERTON ST, NEWPORT, KY 410712010 (Tel: 5132003844)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STACEY BLUME-SOPER, DMD

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

Dentist (License #25387 in OH)

🟢
Initial NPI Registration & Enumeration September 16, 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: 1558467399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

644 Overton St

Newport, KY 410712010

Phone: 5132003844

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.