Periodontal Associates of Tampa Bay, PA
Periodontal Associates of Tampa Bay, PA provides Periodontics in Temple Terrace, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5208 E Fowler Ave Ste FTemple Terrace, FL 33617-2152 Not confirmed with CMS for 15 years — call before visiting
Phone: (813) 988-1103
Fax: (813) 985-1524
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence DN16867 (FL) |
|---|
Record details
| NPI number | 1053606178 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brian Vanaelst — Periodontist · (813) 988-1103 |
| NPI enumerated | June 16, 2011 |
| Last updated in NPPES | June 16, 2011 |
| Mailing address | 5208 E Fowler Ave Ste F, Temple Terrace, FL 33617-2152 |