Jesse Allen Stafford, D.D.S.
NPI 1669786430ActiveIndividual· Dentist, Prosthodontics· Richardson, TX
Dentist, Prosthodontics (D.D.S.) in Richardson, Texas, licensed in NC and TX, with an NPI issued in August 2010. Ultradent Products Inc reported $328.56 in payments in 2024, mostly gifts.
Overview
| NPI | 1669786430 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Aug 3, 2010 |
| Last updated in NPPES | Jan 31, 2021 |
| Certified by provider | Jan 31, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | 9243 | NC |
| Dentist, Prosthodontics | 1223P0700X | 32443 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2024$328.56 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $328.56 | 2 |
What the 2024 payments were for
- Gift$328.56 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, Prosthodontics providers in Richardson
- 1083096713
- 1609082270