OrganizationActive
Periodontal Associates of Tampa Bay, P.A.
NPI 1053606178 · Periodontics · Temple Terrace, FL
Periodontal Associates of Tampa Bay, P.A. is a Periodontics organization in Temple Terrace, FL (NPI 1053606178).
Provider details
- NPI number
- 1053606178
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Brian Vanaelst, Periodontist(813) 988-1103
- License
- DN16867 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5208 E Fowler Ave Ste F
Temple Terrace, FL 33617-2152
Phone: (813) 988-1103
Fax: (813) 985-1524
Street-level locationGet directions
Mailing address
5208 E Fowler Ave Ste F
Temple Terrace, FL 33617-2152
Registry dates
- Enumerated
- 2011-06-16
- Last updated
- 2011-06-16
Frequently asked questions
- What is Periodontal Associates of Tampa Bay, P.A.'s NPI number?
- Periodontal Associates of Tampa Bay, P.A.'s National Provider Identifier (NPI) is 1053606178, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontal Associates of Tampa Bay, P.A.?
- Periodontal Associates of Tampa Bay, P.A. is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontal Associates of Tampa Bay, P.A. located?
- Periodontal Associates of Tampa Bay, P.A.'s practice location on file with NPPES is 5208 E Fowler Ave Ste F, Temple Terrace, FL 33617-2152.
- What is Periodontal Associates of Tampa Bay, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Periodontal Associates of Tampa Bay, P.A. is (813) 988-1103.
- Who is the authorized official for Periodontal Associates of Tampa Bay, P.A.?
- The authorized official listed on Periodontal Associates of Tampa Bay, P.A.'s NPPES record is Brian Vanaelst, Periodontist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontal Associates of Tampa Bay, P.A.'s NPI active?
- Yes — Periodontal Associates of Tampa Bay, P.A.'s NPI (1053606178) is active in the NPPES registry as of the last update on 2011-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.