Organization · Type 2 NPI
Periodontal Associates of Tampa Bay, P.a.
Periodontics · Temple Terrace, FL
NPI number
1053606178
Active
Practice location
5208 E Fowler Ave Ste F
Temple Terrace, FL 33617-2152
Fax (813) 985-1524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DN16867 (FL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1053606178
Periodontal Associates of Tampa Bay, P.a.'s National Provider Identifier is 1053606178, issued on Jun 16, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Temple Terrace, FL. The record was last updated on Jun 16, 2011.