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Dr. Stacey Thao Detvo , DMD

Dentist - General Practice β€’ Forney, TX

Active NPI 1891535407 Individual Practitioner Female Practitioner
Practice location in NPPES

101 N Fm 548 Ste 105
Forney, TX 751265686

Call 9725521224 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

101 N Fm 548 Ste 105

Forney, TX 751265686

Telephone 9725521224
Organization at the Same NPPES Address or Phone
Forney Modern Dentistry And Orthodontics Facility NPI 1013240951

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Forney and Texas

18 active clinicians are listed under Dentist - General Practice with a practice address in Forney, TX (10,075 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Forney

0% of these 18 clinicians have the CMS telehealth indicator.

0% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES TX 40876

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. Michael Hojas , DDS

Dentist - General Practice

NPI 1457458846

Doctor of Dental Surgery

NPI 1417241167

Doctor of Dental Surgery

Dr. Bailey Martin , DDS

Dentist - General Practice

NPI 1487381042

Doctor of Dental Surgery

Dr. Jennifer Mink , DDS

Dentist - General Practice

NPI 1417569385

Doctor of Dental Surgery

NPI 1881945780

Doctor of Dental Surgery

NPI 1801413695

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 09, 2024

Registered at 101 N FM 548 STE 105, FORNEY, TX 751265686 (Tel: 9725521224)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2024

Dentist (license number reported to NPPES: TX 40876)

βœ…
NPI Profile Active May 30, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 30, 2024

Registered at 1 KNEELAND ST, BOSTON, MA 021111527 (Tel: 6176366828)

πŸ“
Business Mailing Address (Initial Record) May 30, 2024

Registered at 707 SKYLER ST, LANTANA, TX 762266500 (Tel: 9402063977)

πŸ‘€
Provider Name / Credentials (Initial Record) May 30, 2024

Recorded as STACEY DETVO, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 30, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891535407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2024
Last Update: August 09, 2024
Sole Proprietor: Yes

Other Dentist - General Practices in Forney

All Dentist - General Practices in Forney

Mailing Address

707 Skyler St

Lantana, TX 762266500

Phone: 9402063977

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.