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Active NPI 1588702666 Individual Practitioner Male Practitioner

Dr. Kevin C. Stephens , DMD

Dentist - General Practice • Wayne, WV

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Stephens, DMD is a registered healthcare professional specializing in Dentist - General Practice in Wayne, WV. Practice services are available at 42 MCGINNIS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

42 Mcginnis Dr

Wayne, WV 255709553

Telephone 3042725136
Fax 3042723807
Associated Practice Facility / Clinic
🏢 Valley Health Systems, Inc Facility NPI 1528038577

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wayne, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Wayne, WV (580 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: 2020-11-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KY 6780

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 OH 30023899

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 WV 4233

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
3810026312 (WV)
Medicaid State Provider ID
0088555 (OH)
Medicaid State Provider ID
60067808 (KY)

Secondary Practice Locations

496 Southland Dr

Lexington, KY 405031827

Phone: 8592882425

4420 Dixie Hwy Ste 110

Louisville, KY 40216

Phone: 5024473323

Practice Associates & Co-Workers

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

7 Associated Practitioners
Jordan Adkins , APRN-CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1124424759

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Michael Goldman , LCSW, LPC

Counselor - Professional

NPI 1326009523

Licensed Clinical Social Worker, Licensed Professional Counselor

Alexandra Collins , MSN, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1518605765

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Lisa Smith , APRN

Nurse Practitioner - Family

NPI 1609258789

Advanced Practice Registered Nurse

Dr. Deep Gohel , DMD

Dentist - General Practice

NPI 1629713003

Doctor of Dental Medicine

NPI 1639458276

Doctor of Optometry

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location November 12, 2020

Registered at 42 MCGINNIS DR, WAYNE, WV 255709553 (Tel: 3042725136)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2020

Dentist (License #6780 in KY)

📍
Updated Practice Location August 16, 2018

Registered at 4420 DIXIE HWY STE 110, LOUISVILLE, KY 40216 (Tel: 5024473323)

📍
Updated Business Mailing Address August 16, 2018

Registered at 901 N YARNALLTON PIKE, LEXINGTON, KY 405119092 (Tel: 8593811348)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2018

Dentist (License #30023899 in OH)

NPI Profile Active August 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2016

Registered at 10777 COUNTY ROAD 107, PROCTORVILLE, OH 456698130 (Tel: 7403020541)

📍
Updated Business Mailing Address August 15, 2016

Registered at 305 N 5TH ST, IRONTON, OH 456381578 (Tel: 7405324858)

👤
Provider Name / Credentials Updated August 15, 2016

Recorded as KEVIN STEPHENS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2016

Dentist (License #30023899 in OH)

🟢
Initial NPI Registration & Enumeration February 02, 2007

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: 1588702666
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2007
Last Update: November 12, 2020
Sole Proprietor: No

Mailing Address

901 N Yarnallton Pike

Lexington, KY 405119092

Phone: 8593811348

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.