Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275615965 Individual Practitioner Male Practitioner

Dr. John Charles Stacey , DDS

Dentist - General Practice • Madison, WI

Professional Overview & Biography Verified Profile Summary

Dr. John Stacey, DDS is a registered healthcare professional specializing in Dentist - General Practice in Madison, WI. Practice services are available at 858 JUPITER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

858 Jupiter Dr

Madison, WI 537182946

Telephone 6082227511
Fax 6082229900
Associated Practice Facility / Clinic
🏢 John C. Stacey Dds Sc Facility NPI 1316029028

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Madison, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
131 Specialists

Practicing in Madison, WI (2459 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 WI 5000714

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Avery Fossum

Student in an Organized Health Care Education/Training Program

NPI 1043905185
NPI 1467011361

Doctor of Dental Surgery

Dr. Erik Stacey , DDS

Dentist - General Practice

NPI 1558443259

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 July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 858 JUPITER DR, MADISON, WI 537182946 (Tel: 6082227511)

📍
Updated Business Mailing Address July 08, 2007

Registered at 858 JUPITER DR, MADISON, WI 537182946 (Tel: 6082227511)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN STACEY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5000714 in WI)

🟢
Initial NPI Registration & Enumeration October 20, 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: 1275615965
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

858 Jupiter Dr

Madison, WI 537182946

Phone: 6082227511

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.