Grellner, Theodore J

Grellner, Theodore J is an individual health care provider with primary practice located at 15310 Amberly Dr Suite 195, Tampa FL 33647-2199. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Grellner, Theodore J can be contacted via phone (813) 972-3478.

Contact Information

Primary practice address
15310 Amberly Dr Suite 195 Tampa FL 33647-2199
Phone: (813) 972-3478
Fax: (813) 972-1782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 11456 Florida

Profile Details

NPI number 1487868337
LBN Legal business name Grellner, Theodore J
Credentials D.D.S. PA
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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