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:
Health care specialties
| Specialty | Code | License # | 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 18 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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