Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962071662 Individual Practitioner Male Practitioner

Dr. Stanton Ulysses Dotson , DDS

Dentist - General Practice • Grants Pass, OR

Professional Overview & Biography Verified Profile Summary

Dr. Stanton Dotson, DDS is a certified Dentist - General Practice practicing in Grants Pass, OR. With approximately 5 years of clinical experience since completing medical education in 2021, Dr. Dotson delivers high-quality medical care to the local community at 1701 NW HAWTHORNE AVE.

Dr. Dotson does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1701 Nw Hawthorne Ave

Grants Pass, OR 975261051

Telephone 5414796393
Fax 5414711439
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grants Pass, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -7.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Grants Pass, OR (1994 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

Clinical Seniority & Experience Comparison

Dr. Dotson (5 Years) 5 Yrs
Grants Pass Specialty Average (12.0 Years) 12.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-04-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D12126

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
500856047 (OR)

Secondary Practice Locations

25647 Redwood Hwy

Cave Junction, OR 975239332

Phone: 5415924111

Practice Associates & Co-Workers

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

30 Associated Practitioners
NPI 1053042408

Doctor of Osteopathic Medicine (D.O.)

Amy Tripp

Dental Hygienist

NPI 1063958924
Dr. Donald Draper , DMD

Dentist - Dental Public Health

NPI 1063998730

Doctor of Dental Medicine

NPI 1093110306

DNPAPRNNP

Andre Bezerra , FNP

Nurse Practitioner

NPI 1093528655

Family Nurse Practitioner

Dr. Richard Hill , DMD

Dentist - General Practice

NPI 1134291081

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 24, 2025

Registered at 1701 NW HAWTHORNE AVE, GRANTS PASS, OR 975261051 (Tel: 5414796393)

📍
Updated Business Mailing Address July 24, 2025

Registered at 1701 NW HAWTHORNE AVE, GRANTS PASS, OR 975261051 (Tel: 5414796393)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2025

Dentist (License #D12126 in OR)

NPI Profile Active June 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2021

Registered at 701 E. MARKEY PKWY, BELTON, MO 64012 (Tel: 8165353443)

📍
Updated Business Mailing Address June 18, 2021

Registered at 4522 FOREST AVE, KANSAS CITY, MO 641101744 (Tel: 6365776930)

👤
Provider Name / Credentials Updated June 18, 2021

Recorded as STANTON DOTSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2021

Dentist (License #2021019650 in MO)

🟢
Initial NPI Registration & Enumeration June 18, 2021

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: 1962071662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2021
Last Update: April 29, 2026
Sole Proprietor: No

Mailing Address

1701 Nw Hawthorne Ave

Grants Pass, OR 975261051

Phone: 5414796393

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.