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

Periorage PLLC

Organization Periodontics · NPI 1962186056

Periorage PLLC is a Periodontics in Tampa, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4450 E Fletcher Ave Ste B
Tampa, FL 33613-4907
Phone: (813) 468-8882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1962186056
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Kuo — President · (813) 468-8882
NPI enumeratedJune 9, 2023
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023
Mailing address4450 E Fletcher Ave Ste B, Tampa, FL 33613-4907

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