Active NPI 1467464065 Individual Practitioner Male Practitioner

Stephen M Beetstra

Dentist - General Practice • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Stephen Beetstra is a registered healthcare professional specializing in Dentist - General Practice in Columbus, OH. Practice services are available at 1581 DODD DR. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1581 Dodd Dr.
Mccampbell Hall -Rm. 345

Columbus, OH 432104321

Telephone 6146853197

Fax 6146853212

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Columbus, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 47.0 Yrs

State Avg: 19.6 Yrs

Regional Practice Density

351 Specialists

Practicing in Columbus, 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

CMS Verified: 2022-03-03

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 30026044

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

0411082 (OH)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location March 16, 2022

Registered at 1581 DODD DR., MCCAMPBELL HALL -RM. 345, COLUMBUS, OH 432104321 (Tel: 6146853197)

📍

Updated Business Mailing Address March 16, 2022

Registered at 1581 DODD DR., MCCAMPBELL HALL RM. 345, COLUMBUS, OH 432101257 (Tel: 6146853197)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2022

Dentist (License #30026044 in OH)

✅

NPI Profile Active February 23, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2012

Registered at 1 CHILDRENS WAY, LITTLE ROCK, AR 722023500 (Tel: 5013641816)

📍

Updated Business Mailing Address February 23, 2012

Registered at 800 MARSHALL ST, LITTLE ROCK, AR 722023510 (Tel: 5013641816)

👤

Provider Name / Credentials Updated February 23, 2012

Recorded as STEPHEN BEETSTRA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2012

Dentist (License #3506 in AR)

🟢

Initial NPI Registration & Enumeration August 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: 1467464065

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 12, 2006

Last Update: March 16, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1581 Dodd Dr., Mccampbell Hall Rm. 345

Columbus, OH 432101257

Phone: 6146853197

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.