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DR. STACIE BENTLEY DMD
NPI 1669994786
Dentist in Kathleen, GA

Active since July 11, 2017PECOS Enrolled
674 LAKE JOY ROAD, KATHLEEN, GA 31047(217) 540-5100 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 8, 2021, Jul 11, 2017 (3 updates tracked since 2017).

About Dr. Stacie Bentley Dmd NPPES

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

DR. STACIE BENTLEY DMD (NPI 1669994786) is an individual dentist in Kathleen, Georgia, licensed in Georgia (DN015465) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669994786
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. STACIE BENTLEYCredential: DMD
Location Address674 LAKE JOY ROADKathleen, GA 31047
Mailing Address674 Lake Joy RoadKathleen, GA 31047 · (217) 540-5100
Phone(217) 540-5100
Sole ProprietorNo
Enumeration DateJuly 11, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1669994786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN015465
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.
674 LAKE JOY ROAD, Kathleen, GA 31047
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

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. Stacie Bentley Dmd 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 31047 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHEENA R KNIGHT
Dentist
674 LAKE JOY ROAD
KATHLEEN, GA 31047
Houston County (217) 540-5100

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 Stacie Bentley's NPI number?

The NPI number for Stacie Bentley is 1669994786. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Where is Stacie Bentley located?

Stacie Bentley practices at 674 Lake Joy Road, Kathleen, GA 31047. The listed phone number is (217) 540-5100.

What is Stacie Bentley's specialty?

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

Is Stacie Bentley enrolled in Medicare?

Yes. Stacie Bentley is registered in the Medicare PECOS enrollment system.

What insurance does Stacie Bentley accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Stacie Bentley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacie Bentley was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.