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PERIORAGE PLLC
NPI 1962186056
Dentist - Periodontics in Tampa, FL

Active since June 09, 2023
4450 E FLETCHER AVE STE B, TAMPA, FL 33613(813) 468-8882 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Periorage Pllc NPPES

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

PERIORAGE PLLC (NPI 1962186056) is a healthcare organization registered as a periodontics in Tampa, Florida and active in the NPI registry since June 2023. The organization lists Wayne Kuo, President, as its authorized official.

NPPES Registry Identity

NPI1962186056
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIORAGE PLLC
Location Address4450 E FLETCHER AVE STE BTampa, FL 33613-4907
Mailing Address4450 E Fletcher Ave Ste BTampa, FL 33613-4907 · (813) 468-8882
Phone(813) 468-8882
Organization SubpartNo
Authorized OfficialWayne KuoPresident · (813) 468-8882
Enumeration DateJune 9, 2023
NPPES CertifiedJune 9, 2023
✔ NPI 1962186056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
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.
4450 E FLETCHER AVE STE B, Tampa, FL 33613
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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 Periorage PLLC's NPI number?

The NPI number for Periorage PLLC is 1962186056. It was assigned to this organization in the NPPES registry on June 9, 2023.

Where is Periorage PLLC located?

Periorage PLLC is located at 4450 E Fletcher Ave Ste B, Tampa, FL 33613. The listed phone number is (813) 468-8882.

What is Periorage PLLC'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 Periorage PLLC was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.