PERIODONTAL ASSOCIATES OF TAMPA BAY, P.A.
NPI 1053606178
Dentist - Periodontics in Temple Terrace, FL

Q: What is Periodontal Associates Of Tampa Bay, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since June 16, 2011

5208 E FOWLER AVE STE F, TEMPLE TERRACE, FL 33617(813) 988-1103(813) 985-1524 Get Directions Write a Review

NPPES record last updated: June 16, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Periodontal Associates Of Tampa Bay, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERIODONTAL ASSOCIATES OF TAMPA BAY, P.A. (NPI 1053606178) is a healthcare organization registered as a periodontics in Temple Terrace, Florida and active in the NPI registry since June 2011. The organization lists Brian Todd Vanaelst, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1053606178

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NamePERIODONTAL ASSOCIATES OF TAMPA BAY, P.A.

Location Address5208 E FOWLER AVE STE FTemple Terrace, FL 33617-2152

Mailing Address5208 E Fowler Ave Ste FTemple Terrace, FL 33617-2152 · (813) 988-1103 · Fax (813) 985-1524

Phone(813) 988-1103

Fax(813) 985-1524

Organization SubpartNo

Authorized OfficialBrian Todd VanaelstPeriodontist · (813) 988-1103

Enumeration DateJune 16, 2011

✔ NPI 1053606178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in FL · DN16867

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

5208 E FOWLER AVE STE F, Temple Terrace, FL 33617

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Periodontal Associates Of Tampa Bay, P.A.'s NPI number?

The NPI number for Periodontal Associates Of Tampa Bay, P.A. is 1053606178. It was assigned to this organization in the NPPES registry on June 16, 2011.

Where is Periodontal Associates Of Tampa Bay, P.A. located?

Periodontal Associates Of Tampa Bay, P.A. is located at 5208 E Fowler Ave Ste F, Temple Terrace, FL 33617. The listed phone number is (813) 988-1103.

What is Periodontal Associates Of Tampa Bay, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontal Associates Of Tampa Bay, P.A. was last updated on June 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.