TSBDE Dentist: STANFIELD, JACQUELYN ANN # 16097

License Number 16097
License Rank Licensed Dentist
License Status Active
License Issue Date 07/10/1989
License Expiration Date 05/31/2022
Electronic Rx Waiver Expiration Date

Last Name STANFIELD
Former Last Name STANFIELD
First Name JACQUELYN
Middle Name ANN
Gender Female
City FLOWER MOUND
State TX
Zip Code 75028
County DENTON

Exempt Location No

Nitrous Certification Date 07/08/1990
Anesthesia Level 1 Permit Issue Date No Permit
Anesthesia Level 2 Permit Issue Date No Permit
Anesthesia Level 3 Permit Issue Date No Permit
Anesthesia Level 4 Permit Issue Date No Permit
Sedation of Pediatric Patients No
Sedation of High-Risk Patients No
 
 
Type of Practice GEN
Year Graduated 1989
Dental School Baylor
Year of Birth 1956
 
 
Public Actions
Disciplinary Action No
Disciplinary Action PDFs
Remedial Plans No
Remedial Plan PDFs

CERTIFICATION OF INFORMATION: The Texas State Board of Dental Examiners certifies that it maintains the information for the license verification functions of this website, performs daily updates to the website and considers the website to be a secure, primary source for license verification.

Exempt Location status applies to dentists who hold at least a level 2 sedation permit or higher. Pursuant to Board Rule 110.18(g): Exempt-location status: During the period of exempt-location status, a permit holder may not delegate the administration of any level of sedation/anesthesia to a dental or medical professional outside a state-licensed hospital or state-licensed ambulatory surgery center. If they are later found to have administered or delegated the administration of level 2, 3, or 4 sedation/anesthesia in a non-exempt location, the Board shall pursue revocation of their dental license.


Codes for Type of Practice

DPH=Dental Public Health
END=Endodontics
GEN=General Dentistry
OMP=Oral&Maxillofacial Pathology
OMR=Oral&Maxillofacial Radiology
OMS=Oral&Maxillofacial Surgery
ORTH=Orthodontics
PEDO=Pediatric Dentistry
PERI=Periodontics
PROS=Prosthodontics