OrganizationActive
Stacey Kutsch, D.D.S., M.s., PLLC
NPI 1265381610 · Pediatric Dentistry · Ave Maria, FL
Provider details
- NPI number
- 1265381610
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stacey Kutsch, Owner(239) 212-1242
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
5078 Pope John Paul II Blvd Ste 206
Ave Maria, FL 34142-9528
Phone: (239) 212-1242
Fax: (239) 212-1410
Street-level locationGet directions
Mailing address
5078 Pope John Paul II Blvd Ste 206
Ave Maria, FL 34142-9528
Registry dates
- Enumerated
- 2026-01-27
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.