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Provider record

Periorage Pllc

The public CMS NPPES listing for Periorage Pllc places this Periodontics record in Tampa, FL. The practice address is shown as 4450 E Fletcher Ave Ste B, Tampa, FL. NPPES also reports a phone number. Verify details before visiting or calling.

NPI1962186056
Entity typeOrganization
Reported phone(813) 468-8882
SourceCMS NPPES

National Plan and Provider Enumeration System

Source checkedJune 3, 2026

Data pulled and checked

NPPES statusActive

Reported to NPPES

Directory statusIndependent

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We show source-reported CMS NPPES fields.

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NPI and status

Source-labeled identifiers and reported record state.

Active
NPI
1962186056
Entity type
Organization
NPPES status
Reported active
License status
Not primary-source verified

Practice location

Practice address and phone as reported in CMS NPPES.

Address
4450 E Fletcher Ave Ste B
Tampa, FL 33613-4907
Phone
(813) 468-8882

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  2. Use the NPI number when comparing this record with CMS NPPES.
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Nearby dentists

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Taxonomy and source

Specialty taxonomy is source-reported and not a quality or license determination.

Taxonomy code
1223P0300X
Specialty
Periodontics
Source
CMS NPPES
Last updated
May 26, 2026