DR. JAMIE ANN DE STEFANO DMD, PHD
NPI 1114156643
Dentist in Augusta, GA

Q: What is Jamie De Stefano's NPI number?

The NPI number for Jamie De Stefano is 1114156643. It was assigned to this individual provider in the NPPES registry on July 6, 2009.

Q: What is Jamie De Stefano's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jamie De Stefano was last updated on July 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 06, 2009PECOS Enrolled

1459 LANEY WALKER BLVD, MCG SOD AD 2809, AUGUSTA, GA 30912(706) 721-2441 Get Directions Write a Review

NPPES record last updated: July 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jamie Ann De Stefano Dmd, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMIE ANN DE STEFANO DMD, PHD (NPI 1114156643) is an individual dentist in Augusta, Georgia, licensed in Georgia (DN012409) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114156643

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JAMIE ANN DE STEFANOCredential: DMD, PHD

Location Address1459 LANEY WALKER BLVD, MCG SOD AD 2809Augusta, GA 30912-2809

Mailing Address7 Eagle Pointe DrAugusta, GA 30909-6057 · (706) 667-6778 · Fax (706) 667-6778

Phone(706) 721-2441

Sole ProprietorYes

Enumeration DateJuly 6, 2009

✔ NPI 1114156643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in GA · DN012409✔ Licensed in KY · 8157

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1459 LANEY WALKER BLVD, Augusta, GA 30912

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jamie Ann De Stefano Dmd, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.