P Praxis·MD
● Active Type 1 · Individual

Jesse Allen Stafford, D.D.S.

Dentist·Richardson, TX· NPI 1669786430 · Enumerated 2010 · 15 years on NPI
Stafford is 1 of 3 dentist providers in Richardson and 1 of 401 in Texas.
NPI age
15 years
Enumerated 2010-08-03
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
NC, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-01-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 401 active dentist providers in Texas.

NPI age
15 years
≈ at median (15 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-08Enumerated in NPPES
2010 2026

Where they practice

Practice location
516 W Arapaho Rd Ste 103
Richardson, TX 750804342
📞 9722315020
Mailing address
Po Box 124
Plumtree, NC 28664

Specialties

  • Dentist Primary
    That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and...
    NC license #9243TX license #32443 taxonomy 1223P0700X

Identifiers

TypeValueNotes
05 (NC) 5919824
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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