Organization
TOOTHASAURUS CHILDRENS DENTISRTY
Active
Other names
Toothasaurus Childrens Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIERNEY PETTINATO DMD (DENTIST)
(813) 778-3140
Entity
Organization
Contact information
Practice address
5256 VILLAGE MARKET, WESLEY CHAPEL, FL 33544-8400
(813) 907-3100
(813) 907-3110
Mailing address
5256 VILLAGE MARKET, WESLEY CHAPEL, FL 33544-8400
(813) 907-3100
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346303948
NPI #
FL
01
—
1629131230
NPI #
FL
01
—
1912921867
NPI#
FL
Enumeration date
07/18/2022
Last updated
08/17/2023
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