Organization · Type 2 NPI

Theodore Edward David Peters, Dds,pa

Oral and Maxillofacial Surgery (Dentist) · Tampa, FL

NPI number 1255501342 Active

Practice location

508 S Habana Ave, Suite 110
Tampa, FL 33609-4181

Call (813) 870-1220 Map

Fax (813) 870-2615

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X13473 (FL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1255501342

Theodore Edward David Peters, Dds,pa's National Provider Identifier is 1255501342, issued on Mar 5, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tampa, FL. The record was last updated on Mar 5, 2008.