Provider record
Thomas E Stakem D.d.s.,m.d.
The public CMS NPPES listing for Thomas E Stakem D.d.s.,m.d. places this Oral And Maxillofacial Surgery (dentist) record in Green Cove Springs, FL. The practice address is shown as 7175-01 U.s. Highway 17 South, Green Cove Springs, FL. NPPES also reports a phone number. Verify details before visiting or calling.
National Plan and Provider Enumeration System
Data pulled and checked
Reported to NPPES
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We show source-reported CMS NPPES fields.
Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1932259405
- Entity type
- Individual
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 7175-01 U.s. Highway 17 South
Green Cove Springs, FL 32095 - Phone
- (904) 529-8889
Directions
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How to verify this record
Use this page as a starting point, then confirm details from primary or direct sources.
- Confirm the office address and phone number directly with the provider.
- Use the NPI number when comparing this record with CMS NPPES.
- Check state licensing sources separately for license status or disciplinary history.
- Ask the office about insurance, appointments, services, and availability.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223S0112X
- Specialty
- Oral and Maxillofacial Surgery (Dentist)
- Source
- CMS NPPES
- Last updated
- May 26, 2026