Individual provider · Type 1 NPI

Dorothy Theogene, DDS

Pediatric Dentistry · Tampa, FL

NPI number 1699055004 Active

Practice location

7814 N Dale Mabry Hwy
Tampa, FL 33614-3220

Fax (813) 405-3938

Mailing address

PO Box 82969
Tampa, FL 33682-2969

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XHAD47 (FL)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1699055004

Dorothy Theogene, DDS's National Provider Identifier is 1699055004, issued on Aug 17, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Tampa, FL. The record was last updated on Sep 25, 2015.