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Theodore Petridis
NPI 1124877139 · Dentist · Brandon, FL
Theodore Petridis is a Dentist provider in Brandon, FL (NPI 1124877139).
Provider details
- NPI number
- 1124877139
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN29005 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
2468 W Brandon Blvd
Brandon, FL 33511-4717
Phone: (813) 257-9518
Street-level locationGet directions
Mailing address
9958 Jonas Salk Dr Apt 428
Riverview, FL 33578-7455
Additional practice locations (1)
- 13023 US Highway 301 SRiverview, FL 33578-7439Phone: (813) 518-5542
Registry dates
- Enumerated
- 2024-05-14
- Last updated
- 2025-09-01
- Certified
- 2025-09-01
Frequently asked questions
- What is Theodore Petridis's NPI number?
- Theodore Petridis's National Provider Identifier (NPI) is 1124877139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Petridis's specialty?
- Theodore Petridis is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Theodore Petridis located?
- Theodore Petridis's practice location on file with NPPES is 2468 W Brandon Blvd, Brandon, FL 33511-4717.
- What is Theodore Petridis's phone number?
- The practice phone number listed in the NPPES registry for Theodore Petridis is (813) 257-9518.
- Is Theodore Petridis's NPI active?
- Yes — Theodore Petridis's NPI (1124877139) is active in the NPPES registry as of the last update on 2025-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.