Theodore Petridis
Dentist β’ Brandon, FL
2468 W Brandon Blvd
Brandon, FL 335114717
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
2468 W Brandon Blvd
Brandon, FL 335114717
NPPES lists 1 additional practice-address record in Riverview, FL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Dentist: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019β2025.
NPI first issued
2024
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Brandon and Florida
47 active clinicians are listed under Dentist with a practice address in Brandon, FL (6,164 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Brandon
0% of these 47 clinicians have the CMS telehealth indicator.
0% of these 47 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-09-01NUCC Taxonomy Code: 122300000X
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Secondary Practice Locations
13023 Us Highway 301 S
Riverview, FL 335787439
Phone: 8135185542
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2468 W BRANDON BLVD, BRANDON, FL 335114717 (Tel: 8132579518)
Registered at 9958 JONAS SALK DR APT 428, RIVERVIEW, FL 335787455
Dentist (license number reported to NPPES: FL DN29005)
NPI status registered as active in NPPES database
Registered at 13023 US HIGHWAY 301 S, RIVERVIEW, FL 335787439 (Tel: 8135185542)
Registered at 19W276 PALACE GREEN LN, OAK BROOK, IL 605231038
Recorded as THEODORE PETRIDIS
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Dentists in Brandon
- Dr. Chris Nowacki, DDS
- Dr. Trevor Williams, DMD
- Yanerkys Rivera Perez
- Dr. Douglas Stafford, DMD
- Dr. Melanie Leung, DMD
- Dr. Paul Mosad, DMD
Mailing Address
9958 Jonas Salk Dr Apt 428
Riverview, FL 335787455