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THEODORE PETRIDIS
NPI 1124877139
Dentist in Brandon, FL

Active since May 14, 2024
2468 W BRANDON BLVD, BRANDON, FL 33511(813) 257-9518 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2025, Jun 10, 2024, May 14, 2024 (3 updates tracked since 2024).

About Theodore Petridis NPPES

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

THEODORE PETRIDIS (NPI 1124877139) is an individual dentist in Brandon, Florida, licensed in Florida (DN29005) and active in the NPI registry since May 2024. He maintains a secondary practice location in Riverview.

NPPES Registry Identity

NPI1124877139
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTHEODORE PETRIDIS
Location Address2468 W BRANDON BLVDBrandon, FL 33511-4717
Mailing Address9958 Jonas Salk Dr Apt 428Riverview, FL 33578-7455
Phone(813) 257-9518
Sole ProprietorYes
Enumeration DateMay 14, 2024
Last NPPES UpdateSeptember 1, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2025
✔ NPI 1124877139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN29005
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2468 W BRANDON BLVD, Brandon, FL 33511
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Secondary Practice Location 1

Location 113023 US Highway 301 SRiverview, FL 33578-7439 · Phone (813) 518-5542

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW M NIEBER V D.D.S.
Dentist (General Practice)
2468 W BRANDON BLVD
BRANDON, FL 33511
Hillsborough County (813) 654-6700
DR. DWAYNE BACCHUS DDS
Dentist
2468 W BRANDON BLVD
BRANDON, FL 33511
Hillsborough County (813) 257-8318

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 Theodore Petridis's NPI number?

The NPI number for Theodore Petridis is 1124877139. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Theodore Petridis located?

Theodore Petridis practices at 2468 W Brandon Blvd, Brandon, FL 33511. The listed phone number is (813) 257-9518.

What is Theodore Petridis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Theodore Petridis accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 12 other insurers list Theodore Petridis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Petridis was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.