STEPHEN W GEORGE DMD
NPI 1700136645
Dentist - General Practice in Leesburg, FL
About Stephen W George Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN W GEORGE DMD (NPI 1700136645) is an individual general practice provider in Leesburg, Florida, licensed in Florida (DN23848) and active in the NPI registry since September 2012. He has opted out of Medicare through May 16, 2028 and remains eligible to order and refer and maintains a secondary practice location in Corpus Christi.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Stephen W George Dmd 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 May 16, 2024 through May 16, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34748 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stephen George's NPI number?
The NPI number for Stephen George is 1700136645. It was assigned to this individual provider in the NPPES registry on September 19, 2012.
Where is Stephen George located?
Stephen George practices at 606 W Magnolia St, Leesburg, FL 34748. The listed phone number is (352) 787-4800.
What is Stephen George's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Stephen George enrolled in Medicare?
No. Stephen George has opted out of Medicare through May 16, 2028. 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 Stephen George was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Stephen W George, DMD · NPI 1700136645
General Practice provider in Leesburg, Florida. Individual provider, active in the CMS NPPES registry since September 19, 2012.
## Identity
- **NPI:** 1700136645 (Entity type: Individual)
- **Enumerated:** September 19, 2012
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DN23848 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 606 W MAGNOLIA ST, Leesburg, FL 34748-5892
- **Phone:** (352) 787-4800
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 16, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1700136645) · Data from the CMS NPPES public registry.