Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457445314 Individual Practitioner Male Practitioner

Dr. Stephen C Booth , DDS

Dentist - General Practice • Midlothian, VA

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Booth, DDS is a registered healthcare professional specializing in Dentist - General Practice in Midlothian, VA. Practice services are available at 5954 HARBOUR PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5954 Harbour Park Dr

Midlothian, VA 231122163

Telephone 8047391600
Fax 8047399035
Associated Practice Facility / Clinic
🏢 Robert N. Penterson, Dds, Pc Facility NPI 1891905923

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Midlothian, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
78 Specialists

Practicing in Midlothian, VA (3535 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 VA 0401411024

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
9179964 (VA)
Commercial Insurance / Payer ID Delta Dental Provider No.
11024 (VA)
Commercial Insurance / Payer ID Anthem Provider No.
182419 (VA)

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1063019404

Doctor of Dental Surgery

NPI 1619395548

Doctor of Dental Medicine

NPI 1760576532

Doctor of Dental Surgery

NPI 1851030837

Doctor of Dental Medicine

Dr. Catherine Lynn Booth , DDS

Dentist - General Practice

NPI 1992908495

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2014

Registered at 5954 HARBOUR PARK DR, MIDLOTHIAN, VA 231122163 (Tel: 8047391600)

📍
Updated Business Mailing Address June 29, 2014

Registered at 5954 HARBOUR PARK DR, MIDLOTHIAN, VA 231122163 (Tel: 8047391600)

👤
Provider Name / Credentials Updated June 29, 2014

Recorded as STEPHEN BOOTH, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2014

Dentist (License #0401411024 in VA)

🟢
Initial NPI Registration & Enumeration October 03, 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: 1457445314
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: June 29, 2014
Sole Proprietor: No

Mailing Address

5954 Harbour Park Dr

Midlothian, VA 231122163

Phone: 8047391600

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.