DR. STANLEY D DAMERON DDS
NPI 1396754123
Dentist in Fredericksburg, VA

Active since August 08, 2006Opted out of Medicare · through Oct 8, 2026
910 LITTLEPAGE STREET, FREDERICKSBURG, VA 22401(540) 373-5642(540) 373-5706 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stanley D Dameron Dds NPPES

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

DR. STANLEY D DAMERON DDS (NPI 1396754123) is an individual dentist in Fredericksburg, Virginia, licensed in Virginia (05475) and active in the NPI registry since August 2006. He has opted out of Medicare through October 8, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396754123
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. STANLEY D DAMERONCredential: DDS
Location Address910 LITTLEPAGE STREETFredericksburg, VA 22401
Mailing Address910 Littlepage StreetFredericksburg, VA 22401 · (540) 373-5642 · Fax (540) 373-5706
Fax(540) 373-5706
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1396754123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in VA · 05475
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.
910 LITTLEPAGE STREET, Fredericksburg, VA 22401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Stanley D Dameron Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 8, 2014 through October 8, 2026.

Opt-Out Effective DateOctober 8, 2014
Opt-Out In Effect ThroughOctober 8, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stanley Dameron's NPI number?

The NPI number for Stanley Dameron is 1396754123. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Stanley Dameron located?

Stanley Dameron practices at 910 Littlepage Street, Fredericksburg, VA 22401. The listed phone number is (540) 373-5642.

What is Stanley Dameron's specialty?

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

Is Stanley Dameron enrolled in Medicare?

No. Stanley Dameron has opted out of Medicare through October 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stanley Dameron was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.