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STEFAN NICHOLAS STROH DMD
NPI 1851964001
Dentist in Jacksonville, FL

Active since July 23, 2021Opted out of Medicare · through Jun 13, 2028
8823 GOODBYS EXECUTIVE DR, JACKSONVILLE, FL 32217(904) 215-3182 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2024, Jul 23, 2021 (2 updates tracked since 2021).

About Stefan Nicholas Stroh Dmd NPPES

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

STEFAN NICHOLAS STROH DMD (NPI 1851964001) is an individual dentist in Jacksonville, Florida, licensed in Florida (DN28722) and active in the NPI registry since July 2021. He has opted out of Medicare through June 13, 2028.

NPPES Registry Identity

NPI1851964001
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameSTEFAN NICHOLAS STROHCredential: DMD
Location Address8823 GOODBYS EXECUTIVE DRJacksonville, FL 32217-4605
Mailing Address2587 Windwood LnOrange Park, FL 32073-6126 · (904) 233-4891
Phone(904) 215-3182
Sole ProprietorNo
Enumeration DateJuly 23, 2021
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1851964001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in FL · DN28722✔ Licensed in UT · 12337282-9922
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.
8823 GOODBYS EXECUTIVE DR, Jacksonville, FL 32217
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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 Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stefan Nicholas Stroh 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 June 13, 2024 through June 13, 2028.

Opt-Out Effective DateJune 13, 2024
Opt-Out In Effect ThroughJune 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

JOSEPH ROBERT BOULTER DMD
Dentist (General Practice)
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL 32217
Duval County (904) 731-0432
JOSEPH R. BOULTER, D.M.D., M.A.G.D., P.A.
Dentist (General Practice)
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL 32217
Duval County (904) 731-0432
DR. SYDNEY NICOLE BATES DMD
Dentist (General Practice)
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL 32217
Duval County (904) 762-8090
DR. KEVIN CHRISTOPHER WIMAN DMD
Dentist
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL 32217
Duval County (470) 336-2612
PATRIOT FAMILY DENTAL PA
Dentist (General Practice)
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL 32217
Duval County (470) 336-2612

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 Stefan Stroh's NPI number?

The NPI number for Stefan Stroh is 1851964001. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Where is Stefan Stroh located?

Stefan Stroh practices at 8823 Goodbys Executive Dr, Jacksonville, FL 32217. The listed phone number is (904) 215-3182.

What is Stefan Stroh's specialty?

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

Is Stefan Stroh enrolled in Medicare?

No. Stefan Stroh has opted out of Medicare through June 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Stefan Stroh accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 5 other insurers list Stefan Stroh 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 Stefan Stroh was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.