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Active NPI 1114916244 Individual Practitioner Male Practitioner

Dr. Stefan Shane Hacker , DDS

Dentist • Jay, OK

Professional Overview & Biography Verified Profile Summary

Dr. Stefan Hacker, DDS is a registered healthcare professional specializing in Dentist in Jay, OK. Practice services are available at 1015 W WASHBOURNE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1015 W Washbourne St

Jay, OK 743464205

Telephone 9182538696
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jay, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Jay, OK (1115 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OK 5354

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Charles Mcquigg , DDS

Dentist - General Practice

NPI 1427025501

Doctor of Dental Surgery

Payton Martin

Dental Hygienist

NPI 1629828355

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2016

Registered at 1015 W WASHBOURNE ST, JAY, OK 743464205 (Tel: 9182538696)

📍
Updated Business Mailing Address May 19, 2016

Registered at 200 E 3RD ST, GROVE, OK 743447006 (Tel: 9187877900)

👤
Provider Name / Credentials Updated May 19, 2016

Recorded as STEFAN HACKER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2016

Dentist (License #5354 in OK)

🟢
Initial NPI Registration & Enumeration October 20, 2005

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: 1114916244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

200 E 3rd St

Grove, OK 743447006

Phone: 9187877900

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.