institution
Theodore Edward David Peters, Dds,pa
Oral and Maxillofacial Surgery (Dentist) in Tampa, Florida
NPI 1255501342

Theodore Edward David Peters, Dds,pa is a Oral and Maxillofacial Surgery (Dentist) based in Tampa, FL and is specialized in Oral and Maxillofacial Surgery. Theodore Edward David Peters, Dds,pa practices in Tampa, FL. The NPI Number for Theodore Edward David Peters, Dds,pa is 1255501342 and holds a License No. 13473 (Florida).

The current practice location address for Theodore Edward David Peters, Dds,pa is 508 S Habana Ave, Tampa, FL and can be reached out via phone at 813-870-1220 and via fax at 813-870-2615.

Location: 508 S Habana Ave, Tampa, FL, 33609-4181
institution
Provider Profile Details
NPI Number
1255501342
Provider Name
Theodore Edward David Peters, Dds,pa
Credential
Provider Entity Type
Organization
Address
508 S Habana Ave, Tampa, FL, 33609-4181
Phone Number
813-870-1220
Fax Number
813-870-2615
Provider Enumeration Date
03/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1457342750 01 NPI
institution
Provider Business Practice Location Address Details
Address
508 S Habana Ave
City
State
Zip
33609-4181
Phone Number
813-870-1220
Fax Number
813-870-2615
person
Provider Business Mailing Address Details
Address
508 S Habana Ave
City
State
Zip
33609-4181
Phone Number
813-870-1220
Fax Number
813-870-2615
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
13473 (Florida)
Definition
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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