Individual provider · Type 1 NPI

Theodore J. Grellner, D.D.S. PA

Oral and Maxillofacial Surgery (Dentist) · Tampa, FL

NPI number 1487868337 Active

Practice location

15310 Amberly Dr, Suite 195
Tampa, FL 33647-2199

Call (813) 972-3478 Map

Fax (813) 972-1782

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X11456 (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 1487868337

Theodore J. Grellner, D.D.S. PA's National Provider Identifier is 1487868337, issued on May 10, 2007. 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 Jul 8, 2007.