Individual provider · Type 1 NPI

Theodore Petridis

Dentist · Brandon, FL

NPI number 1124877139 Active

Practice location

2468 W Brandon Blvd
Brandon, FL 33511-4717

Mailing address

9958 Jonas Salk Dr Apt 428
Riverview, FL 33578-7455

Other practice locations

  • 13023 US Highway 301 S, Riverview, FL 33578-7439 · (813) 518-5542

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN29005 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1124877139

Theodore Petridis's National Provider Identifier is 1124877139, issued on May 14, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Brandon, FL. The record was last updated on Sep 1, 2025.