THEODORE J GRELLNER (NPI# 1487868337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487868337 |
| Entity Type | Individual |
| Full Name | THEODORE J GRELLNER |
| Credential | D.D.S. PA |
| Practice Address |
15310 Amberly Dr Suite 195 Tampa FL 33647-2199 |
| Practice Telephone | 8139723478 |
| Practice Fax Number | 8139721782 |
| Mailing Telephone | 8139723478 |
| Mailing Fax Number | 8139721782 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
11456 | FL | Dental Providers |
| Street Address |
15310 AMBERLY DR SUITE 195 |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-2199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104891936 | Ruth Hanno Md Pa | Specialist | 15310 Amberly Dr, Suite 150, Tampa, FL 33647-2199 | 2006-02-23 |
| 1053821819 | Bay Area Mediations | Counselor | 15310 Amberly Dr, Suite 250, Tampa, FL 33647-2199 | 2017-10-06 |
| 1831557487 | Xiomara N Alvarez-salamo | Social Worker | 15310 Amberly Dr, Tampa, FL 33647-2199 | 2016-02-10 |
| 1144637364 | Integrated Dermatology of Tampa, LLC | Physician Assistant | 15310 Amberly Dr, Suite 150, Tampa, FL 33647-2199 | 2014-07-21 |
| 1033438742 | Salma Z Pothiawala | Dermatology | 15310 Amberly Dr, Suite 150, Tampa, FL 33647-2199 | 2010-05-19 |
| 1295916872 | Iraida V Carrion | Social Worker | 15310 Amberly Dr, Tampa, FL 33647-2199 | 2007-11-23 |
| 1699962225 | A/r Docs, Inc. | Contractor | 15310 Amberly Dr, Suite 250, Tampa, FL 33647-2199 | 2007-09-27 |
| 1760607287 | Lawrence J. Posner | Dentist | 15310 Amberly Dr, Ste 155, Tampa, FL 33647-2199 | 2007-04-17 |
| 1245353317 | Maria L. Estes | Counselor | 15310 Amberly Dr, Suite 250, Tampa, FL 33647-2199 | 2007-04-06 |
| 1891814364 | Tsila Abush Kirsh | Psychologist | 15310 Amberly Dr, Sutie 250, Tampa, FL 33647-2199 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
| 1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
| 1316308547 | Renato J. Aves, LLC | Dentist | 7720 W Waters Ave, Tampa, FL 33615-1813 | 2016-03-16 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| 1336322650 | Renato J Aves Jr. | Dentist | 7712 W Waters Ave, Tampa, FL 33615-1813 | 2007-12-10 |
| 1376681791 | Robert Orta | Dentist | 801 West Dr Martin Luther King Jr Blvd, Suite 2, Tampa, FL 33603 | 2007-02-01 |
| 1194878462 | Robert Orta Dds Pa | Dentist | 801 W Dr Martin Luther King Jr Blvd, Ste 2, Tampa, FL 33603 | 2007-01-19 |
| 1588745228 | Jeffrey Victor Moffett | Dentist | 275 Bayshore Blvd, 805, Tampa, FL 33606-2328 | 2006-10-18 |
| 1902909526 | David G Mcdonald | Dentist | 7001 N Dale Mabry, #7, Tampa, FL 33614 | 2006-09-07 |
| 1245333509 | Dale Salomon | Dentist | 14815 N Dale Mabry Hwy, Tampa, FL 33618-2027 | 2006-09-05 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.