Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Periodontal Associates of Tampa Bay, PA

Organization Periodontics · NPI 1053606178

Periodontal Associates of Tampa Bay, PA is a Periodontics in Temple Terrace, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5208 E Fowler Ave Ste F
Temple Terrace, FL 33617-2152
Phone: (813) 988-1103
Fax: (813) 985-1524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DN16867 (FL)

Record details

NPI number1053606178
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Vanaelst — Periodontist · (813) 988-1103
NPI enumeratedJune 16, 2011
Last updated in NPPESJune 16, 2011
Mailing address5208 E Fowler Ave Ste F, Temple Terrace, FL 33617-2152

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