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Search › Florida › Oral and Maxillofacial Surgery (Dentist)

Thomas Stakem, D.D.S.,M.D

NPI 1932259405 · on the registry since 2007 · sole proprietor

Practice

Address
7175-01 U.S. Highway 17 South
Green Cove Springs, FL 32095
Phone
(904) 529-8889
Fax
(904) 529-8893

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida