| Elizabeth Staves, D.d.s. | |
|
5310 4th St N St Petersburg FL 33703-2916 | |
| (727) 526-5900 | |
| (727) 526-5944 |
| Full Name | Elizabeth Staves, D.d.s. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5310 4th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Elizabeth Jeanne Staves (DENTIST) |
| Authorized Official Contact | 7275265900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Staves, D.d.s. 5310 4th St N St Petersburg FL 33703-2916 Ph: (727) 526-5900 | Elizabeth Staves, D.d.s. 5310 4th St N St Petersburg FL 33703-2916 Ph: (727) 526-5900 |
| NPI Number | 1366849705 |
|---|---|
| Provider Enumeration Date | 12/01/2014 |
| Last Update Date | 12/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366849705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN13943 (Florida) | Primary |
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