OrganizationActive
Scott Gorden Stafford, DDS, PC
NPI 1093004467 · Dentist · Live Oak, TX
Provider details
- NPI number
- 1093004467
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Scott Stafford, President(210) 599-9610
- License
- 18592 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12501 Judson Rd
Suite 101
Live Oak, TX 78233-4103
Phone: (210) 599-9610
Fax: (210) 946-8119
Street-level locationGet directions
Mailing address
12501 Judson Rd
Live Oak, TX 78233-4103
Other names (DBA / former)
- Other name
- Stafford Family Dental
Registry dates
- Enumerated
- 2011-04-06
- Last updated
- 2011-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.