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

Theodore Petridis

Individual provider Dentist · NPI 1124877139

Theodore Petridis is a Dentist in Brandon, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

2468 W Brandon Blvd
Brandon, FL 33511-4717
Phone: (813) 257-9518
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13023 Us Highway 301 S, Riverview, FL 33578-7439 — (813) 518-5542

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN29005 (FL)

Record details

NPI number1124877139
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 14, 2024
Last updated in NPPESSeptember 1, 2025
Certification dateSeptember 1, 2025
Mailing address9958 Jonas Salk Dr Apt 428, Riverview, FL 33578-7455

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