MEDICARE: TERSA OAFS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number	:	1407704885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERSA OAFS LLC

Provider Business Mailing Address
First Line	:	4675 VAN DYKE RD STE A
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33558-4880
Country	:	US
Telephone Number	:	813-437-9710
Fax Number	:

Provider Business Practice Location Address
First Line	:	4675 VAN DYKE RD STE A
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33558-4880
Country	:	US
Telephone Number	:	813-437-9710
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDRES GUERRA ANDRADE
Credential	:	DMD
Telephone Number	:	813-528-5471

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

Similar Medicare Providers

1497454946 — PEDIATRIC DENTISTRY OF LUTZ, LLC
Practice Location Address:

4675 VAN DYKE RD
LUTZ, FL
33558-4880

Practice Phone: 813-591-2200
Practice Fax: 813-374-8329

1669610044 — DR. ANDRES E GUERRA ANDRADE DMD
Practice Location Address:

4675 VAN DYKE RD
LUTZ, FL
33558-4880

Practice Phone: 813-528-5471
Practice Fax:

1730182312 — DR. JOSE ENRIQUE COLON M.D.
Practice Location Address:

4683 VAN DYKE RD
LUTZ, FL
33558-4880

Practice Phone: 813-968-7171
Practice Fax: 813-968-7282

1881632479 — DR. CARLA JOY ALBARRAN D.O.
Practice Location Address:

4683 VAN DYKE RD
LUTZ, FL
33558-4880

Practice Phone: 813-968-7171
Practice Fax: 813-443-8167

1437353554 — DR. ALISA SUZANNE PIERCE-KEE MD
Practice Location Address:

4683 VAN DYKE RD
LUTZ, FL
33558-4880

Practice Phone: 813-968-7171
Practice Fax: 813-443-8167

1780880476 — CHRISTOPHER DAVID EWANOWSKI M.D.
Practice Location Address:

4651 VAN DYKE RD
LUTZ, FL
33558-4880

Practice Phone: 813-321-1786
Practice Fax: 813-321-1787

Directions to “TERSA OAFS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.