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

Theodore J Grellner, DDSPA

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1487868337

Theodore J Grellner, DDSPA is an Oral and Maxillofacial Surgery (Dentist) in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

15310 Amberly Dr Ste 195
Tampa, FL 33647-2199
Phone: (813) 972-3478
Fax: (813) 972-1782
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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 11456 (FL)

Record details

NPI number1487868337
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSPA
Sole proprietorNo
NPI enumeratedMay 10, 2007
Last updated in NPPESJuly 8, 2007
Mailing address15310 Amberly Dr, Suite 195, Tampa, FL 33647-2199

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