Healthcare Provider Details

I. General information

NPI: 1881741569
Provider Name (Legal Business Name): STEVEN V. DAU, D.M.D., M.S., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 04/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20717 CENTER OAK DR
TAMPA FL
33647-3551
US

IV. Provider business mailing address

20717 CENTER OAK DR
TAMPA FL
33647-3551
US

V. Phone/Fax

Practice location:
  • Phone: 813-929-3361
  • Fax: 813-929-3681
Mailing address:
  • Phone: 813-929-3361
  • Fax: 813-929-3681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDN-15955
License Number StateFL

VIII. Authorized Official

Name: DR. STEVEN V DAU
Title or Position: OWNER
Credential: DMD MS
Phone: 813-929-3361