Dr Thomas E Stakem, DDS,MD - Dentist in Green Cove Springs, FL

Dr Thomas E Stakem, DDS,MD is a Dentist - Oral And Maxillofacial Surgery based in Green Cove Springs, Florida. Dr Thomas E Stakem is licensed to practice in Florida (license number DN16222) and his current practice location is 7175-01 U.s. Highway 17 South, Green Cove Springs, Florida. He can be reached at his office (for appointments etc.) via phone at (904) 529-8889.

NPI number for Dr Thomas E Stakem is 1932259405 and his current mailing address is 415 Sophia Ter, St Augustine, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932259405.

Contact Information

Dr Thomas E Stakem, DDS,MD
7175-01 U.s. Highway 17 South,
Green Cove Springs, FL 32095
(904) 529-8889
(904) 529-8893

Map and Direction




Healthcare Provider's Profile

Full NameDr Thomas E Stakem
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location7175-01 U.s. Highway 17 South, Green Cove Springs, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932259405
  • Provider Enumeration Date: 01/10/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Thomas E Stakem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932259405NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery DN16222 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas E Stakem is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Thomas E Stakem, DDS,MD
415 Sophia Ter,
St Augustine, FL 32095-6839

Ph: (904) 529-8889
Dr Thomas E Stakem, DDS,MD
7175-01 U.s. Highway 17 South,
Green Cove Springs, FL 32095

Ph: (904) 529-8889

Reviews and Comments


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