Stephanie Simone Stoddart, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1856472 Issued in MA

Practice address

1070 Saint James Ave
Springfield, MA 01104-1453

Phone

(413) 241-7772

NPI assigned

May 23, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jet Dental of Connecticut, LLC

  • General Practice Dentistry
  • Fairfield, CT
  • NPI 1063386969
  NPD Authorized official
• Smilewell PLLC

  • General Practice Dentistry
  • Bristol, CT
  • NPI 1902750904
  NPD Authorized official
• Total Wellness Dentistry PLLC

  • Clinic/Center
  • Glastonbury, CT
  • NPI 1598630840
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1700223237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MELROSE DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322251",
            "telephone_number": "860-677-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 SAINT JAMES AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011041453",
            "telephone_number": "413-241-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Melrose Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060322251",
            "country_code": "US",
            "telephone_number": "860-677-1316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STODDART",
        "first_name": "STEPHANIE",
        "middle_name": "SIMONE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10971",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Leslie Stiles
• Teresa A. Stimpson, N.P.
• Christine Carol Stirlacci, MS,OTR/L
• Stitch for Hire LLC
• Philip B Stoddard, MD
• Jennifer Stodulski
• Sara Stodulski
• Brian Lamar Stokes
• Claretta Stokes
• Emma Stoll

• General Practice Dentistry in Springfield, MA
• Providers in Springfield, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.