Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS E STAKEM, D.D.S.,M.D.
Active Sole ProprietorDR. THOMAS E STAKEM, D.D.S.,M.D. is a Oral & Maxillofacial Surgery healthcare provider located in GREEN COVE SPRINGS, Florida. NPI 1932259405 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · GREEN COVE SPRINGS, FL
Registration Details
- NPI Number
- 1932259405
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2007 (19.549554240685 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DN16222 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7175-01 U.S. HIGHWAY 17 SOUTHGREEN COVE SPRINGS, FL, 32095Browse FL providers · Browse ZIP 32095
- Phone
- 9045298889
- Fax
- 9045298893
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.