MEDICARE: DR. STACEY ELIZABETH ZAIKOSKI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	30-024354	OH

General Provider Information

NPI Number	:	1518062231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STACEY ELIZABETH ZAIKOSKI DDS

Provider Business Mailing Address
First Line	:	5671 FAR HILLS AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2226
Country	:	US
Telephone Number	:	937-293-6387
Fax Number	:	937-293-1413

Provider Business Practice Location Address
First Line	:	5671 FAR HILLS AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2226
Country	:	US
Telephone Number	:	937-293-6387
Fax Number	:	937-293-6387

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	03/25/2020

Similar Medicare Providers

1154360972 — DR. HARRY S ALEXANDER D.C.
Practice Location Address:

5671 FAR HILLS AVE
DAYTON, OH
45429-2226

Practice Phone: 937-435-1194
Practice Fax: 937-435-7084

1285653873 — JAMES H ALEXANDER D.C.
Practice Location Address:

5671 FAR HILLS AVE
DAYTON, OH
45429-2226

Practice Phone: 937-435-1194
Practice Fax:

1386719813 — ALEXANDER R. CLEMENTE DDS
Practice Location Address:

5685 FAR HILLS AVE
DAYTON, OH
45429-2226

Practice Phone: 937-435-5163
Practice Fax: 937-291-9353

1699840116 — ROBERT GREGORY SHELHOUSE DDS
Practice Location Address:

5685 FAR HILLS AVE
DAYTON, OH
45429-2226

Practice Phone: 937-435-5163
Practice Fax: 937-291-9353

1427223452 — MARK SEITZ D.C.
Practice Location Address:

5671 FAR HILLS AVE
DAYTON, OH
45429-2226

Practice Phone: 937-435-1194
Practice Fax:

1093978777 — CHRISTOPHER ALLEN CRIPE DDS
Practice Location Address:

5685 FAR HILLS AVE
DAYTON, OH
45429-2226

Practice Phone: 937-435-5163
Practice Fax: 937-291-9353

Directions to “ DR. STACEY ELIZABETH ZAIKOSKI DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.