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NPI Code Detail

MEDICARE: TOOTHASAURUS CHILDRENS DENTISRTY

MEDICARE: TOOTHASAURUS CHILDRENS DENTISRTY
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
11223P0221XPediatric Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11629131230OTHERFLNPI #
21912921867OTHERFLNPI#
31346303948OTHERFLNPI #

General Provider Information

NPI Number : 1841925526
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOOTHASAURUS CHILDRENS DENTISRTY
Provider Business Mailing Address
First Line : 5256 VILLAGE MARKET
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-8400
Country : US
Telephone Number : 813-907-3100
Fax Number :
Provider Business Practice Location Address
First Line : 5256 VILLAGE MARKET
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-8400
Country : US
Telephone Number : 813-907-3100
Fax Number : 813-907-3110
Authorized Official
Title or Position : DENTIST
Name : DR. TIERNEY PETTINATO
Credential : DMD
Telephone Number : 813-778-3140
Provider Enumeration Date : 07/18/2022
Last Update Date : 08/17/2023

Similar Medicare Providers

1346303948 — DR. TIERNEY M PETTINATO DMD
Practice Location Address:
5252 VILLAGE MARKET
WESLEY CHAPEL, FL
33544-8400
Practice Phone: 813-778-3140
Practice Fax:
1255064960 — FRANK C PETTINATO D.D.S., P.A.
Practice Location Address:
5252 VILLAGE MARKET
WESLEY CHAPEL, FL
33544-8400
Practice Phone: 813-907-3100
Practice Fax: 813-907-3110
1891961553 — ROBERTA ANN WOODELL SLP
Practice Location Address:
2872 UNION CHAPEL RD
PEMBROKE, NC
28372-8400
Practice Phone: 910-521-8624
Practice Fax:
1366065914 — MEGAN B ANDREWS
Practice Location Address:
2391 OAK MYRTLE LN
WESLEY CHAPEL, FL
33544-6328
Practice Phone: 813-803-2219
Practice Fax:
1235073875 — BRADY MEDICAL GROUP OF TAMPA BAY PA
Practice Location Address:
26907 FOGGY CREEK RD STE 101
WESLEY CHAPEL, FL
33544-6778
Practice Phone: 844-409-4657
Practice Fax: 214-614-4277
1801730445 — BRADY DENTAL GROUP OF TAMPA BAY PA
Practice Location Address:
26907 FOGGY CREEK RD STE 101
WESLEY CHAPEL, FL
33544-6778
Practice Phone: 844-409-4657
Practice Fax: 214-614-4277

Directions to “TOOTHASAURUS CHILDRENS DENTISRTY ” Practice Location

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