Healthcare Provider Details

I. General information

NPI: 1932508587
Provider Name (Legal Business Name): STEVEN DAU DMD MS PA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2014
Last Update Date: 03/28/2019
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:
Title or Position:
Credential:
Phone: