Provider Demographics
NPI:1487987988
Name:STOICI, IOANA AMNA MIHAELA (DMD)
Entity type:Individual
Prefix:DR
First Name:IOANA
Middle Name:AMNA MIHAELA
Last Name:STOICI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 MONTEREY BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-3638
Mailing Address - Country:US
Mailing Address - Phone:267-575-7695
Mailing Address - Fax:
Practice Address - Street 1:205 MARTIN LUTHER KING DR N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3109
Practice Address - Country:US
Practice Address - Phone:267-575-7695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037482122300000X
FLDN18891122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist