| Periodontal Associates Of Tampa Bay, P.a. | |
|
5208 E Fowler Ave Ste F Temple Terrace FL 33617-2152 | |
| (813) 988-1103 | |
| (813) 985-1524 |
| Full Name | Periodontal Associates Of Tampa Bay, P.a. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 5208 E Fowler Ave Ste F, Temple Terrace, Florida |
| Authorized Official Name and Position | Brian Todd Vanaelst (PERIODONTIST) |
| Authorized Official Contact | 8139881103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Associates Of Tampa Bay, P.a. 5208 E Fowler Ave Ste F Temple Terrace FL 33617-2152 Ph: (813) 988-1103 | Periodontal Associates Of Tampa Bay, P.a. 5208 E Fowler Ave Ste F Temple Terrace FL 33617-2152 Ph: (813) 988-1103 |
| NPI Number | 1053606178 |
|---|---|
| Provider Enumeration Date | 06/16/2011 |
| Last Update Date | 06/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053606178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN16867 (Florida) | Primary |
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