Theodore Petridis
Theodore Petridis is a Dentist provider (Dentist) practicing in Brandon, FL, registered in the NPPES registry with NPI 1124877139 since 2024.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1124877139 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Theodore Petridis |
| Sex | Male |
| Practice address | Brandon, FL, 33511 |
| Phone | 8132579518 |
| Enumeration date | 2024-05-14 |
| Last updated in NPPES | 2025-09-01 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | DN29005 | FL |
Copy-ready billing details
Provider: Theodore Petridis NPI: 1124877139 Taxonomy: 122300000X (Dentist) Address: Brandon, FL, 33511
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063593291 | Matthew Nieber | Individual | General Practice Dentistry | Brandon, FL |
| 1891828471 | Dwayne Bacchus | Individual | Dentist | Brandon, FL |
Verify this record
Cross-check NPI 1124877139 against the authoritative CMS record: view Theodore Petridis on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-01.