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Dr. Thomas E Stakem, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Green Cove Springs, Florida
NPI 1932259405

Thomas E Stakem is a Oral and Maxillofacial Surgery (Dentist) based in St Augustine, FL and is specialized in Oral and Maxillofacial Surgery. Thomas E Stakem practices in Green Cove Springs, FL and has the professional credentials of DDS,MD. The NPI Number for Thomas E Stakem is 1932259405 and holds a License No. DN16222 (Florida).

The current practice location address for Thomas E Stakem is 7175-01 U.s. Highway 17 South, Green Cove Springs, FL and can be reached out via phone at 904-529-8889 and via fax at 904-529-8893.

Location: 7175-01 U.s. Highway 17 South, Green Cove Springs, FL, 32095-6839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932259405
Provider Name
Thomas E Stakem
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
7175-01 U.s. Highway 17 South, Green Cove Springs, FL, 32095-6839
Phone Number
904-529-8889
Fax Number
904-529-8893
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7175-01 U.s. Highway 17 South
City
Green Cove Springs
State
Florida
Zip
32095
Phone Number
904-529-8889
Fax Number
904-529-8893
person
Provider Business Mailing Address Details
Address
7175-01 U.s. Highway 17 South
City
Green Cove Springs
State
Florida
Zip
32095
Phone Number
904-529-8889
Fax Number
904-529-8893
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN16222 (Florida)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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