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THEODORE EDWARD DAVID PETERS, DDS,PA
NPI 1255501342
Dentist - Oral and Maxillofacial Surgery in Tampa, FL

Active since March 05, 2008
508 S HABANA AVE, SUITE 110, TAMPA, FL 33609(813) 870-1220(813) 870-2615 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theodore Edward David Peters, Dds,pa NPPES

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

THEODORE EDWARD DAVID PETERS, DDS,PA (NPI 1255501342) is a healthcare organization registered as an oral and maxillofacial surgery in Tampa, Florida and active in the NPI registry since March 2008. The organization lists Theodore Edward David Peters, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1255501342
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTHEODORE EDWARD DAVID PETERS, DDS,PA
Location Address508 S HABANA AVE, SUITE 110Tampa, FL 33609-4181
Mailing Address508 S Habana Ave, Suite 110Tampa, FL 33609-4181 · (813) 870-1220 · Fax (813) 870-2615
Phone(813) 870-1220
Fax(813) 870-2615
Organization SubpartNo
Authorized OfficialTheodore Edward David PetersSurgeon · (813) 870-1220
Enumeration DateMarch 5, 2008
✔ NPI 1255501342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in FL · 13473
Definition
An oral and maxillofacial surgery dentist specialized in 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.
508 S HABANA AVE, Tampa, FL 33609
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Other Identifiers 1

Other1457342750Npi

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

Other Providers at the Same Location NPPES 20

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

GUNJANI PATEL M.A
Counselor (Mental Health)
508 S HABANA AVE, SUITE 340
TAMPA, FL 33609
Hillsborough County (813) 873-7367
BAYSHORE PODIATRY CENTER INC
Podiatrist (Foot & Ankle Surgery)
508 S HABANA AVE, 230
TAMPA, FL 33609
Hillsborough County (813) 877-6636
DR. MORIAH R MOFFITT M.D.
Plastic Surgery
508 S HABANA AVE, SUITE 180
TAMPA, FL 33609
Hillsborough County (813) 414-0908
DR. JOHN P LIPPELMAN M.D.
Specialist
508 S HABANA AVE, SUITE 220
TAMPA, FL 33609
Hillsborough County (813) 870-0207
JONATHAN D. FORMAN M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
508 S HABANA AVE, SUITE #170
TAMPA, FL 33609
Hillsborough County (813) 877-3100
MORRIS R HANAN MD PA
Internal Medicine (Gastroenterology)
508 S HABANA AVE, SUITE 260
TAMPA, FL 33609
Hillsborough County (813) 876-9191
GINA PAOLA HOYOS APRN
Nurse Practitioner (Family)
508 S HABANA AVE
TAMPA, FL 33609
Hillsborough County (813) 873-7367
NICOLE MARIE MANZARDO AU.D.
Audiologist
508 S HABANA AVE
TAMPA, FL 33609
Hillsborough County (813) 877-3100

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 Edward David Peters, Dds,pa's NPI number?

The NPI number for Theodore Edward David Peters, Dds,pa is 1255501342. It was assigned to this organization in the NPPES registry on March 5, 2008.

Where is Theodore Edward David Peters, Dds,pa located?

Theodore Edward David Peters, Dds,pa is located at 508 S Habana Ave Suite 110, Tampa, FL 33609. The listed phone number is (813) 870-1220.

What is Theodore Edward David Peters, Dds,pa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Theodore Edward David Peters, Dds,pa was last updated on March 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.