Provider Demographics
NPI:1700825809
Name:STOICI, MIKE M (DMD)
Entity Type:Individual
Prefix:DR
First Name:MIKE
Middle Name:M
Last Name:STOICI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SUMMERSET DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2535
Mailing Address - Country:US
Mailing Address - Phone:412-519-9335
Mailing Address - Fax:724-837-7511
Practice Address - Street 1:7801 DR MARTIN LUTHER KING JR ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-1108
Practice Address - Country:US
Practice Address - Phone:727-525-4499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0363411223G0001X
FLDN184341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice