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

Theodore Edward David Peters, DDS, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1255501342

Theodore Edward David Peters, DDS, PA is an Oral and Maxillofacial Surgery (Dentist) in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

508 S Habana Ave Ste 110
Tampa, FL 33609-4181
Phone: (813) 870-1220
Fax: (813) 870-2615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 13473 (FL)

Record details

NPI number1255501342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Peters — Surgeon · (813) 870-1220
NPI enumeratedMarch 5, 2008
Last updated in NPPESMarch 5, 2008
Mailing address508 S Habana Ave, Suite 110, Tampa, FL 33609-4181

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