Provider Demographics
NPI:1932508587
Name:DAU, STEVEN (DMD MS PA)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:DAU
Suffix:
Gender:M
Credentials:DMD MS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20717 CENTER OAK DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3551
Mailing Address - Country:US
Mailing Address - Phone:813-929-3361
Mailing Address - Fax:813-929-3681
Practice Address - Street 1:20717 CENTER OAK DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3551
Practice Address - Country:US
Practice Address - Phone:813-929-3361
Practice Address - Fax:813-929-3681
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-20
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 159551223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics