Tierney M Pettinato, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17614 Issued in FL

Practice address

5252 Village Market
Wesley Chapel, FL 33544-8400

Phone

(813) 778-3140

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Toothasaurus Childrens Dentisrty

  dba Toothasaurus Childrens Dentistry

  • Pediatric Dentistry
  • Wesley Chapel, FL
  • NPI 1841925526
  NPD (past) Authorized official
• Florida Office Anesthesia Supplies and Equipment LLC

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1740444959
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1346303948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14497 N DALE MABRY HWY STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182047",
            "telephone_number": "954-471-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 VILLAGE MARKET",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448400",
            "telephone_number": "813-778-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTINATO",
        "first_name": "TIERNEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryonna Perperian
• Shannon M Perrone, LCSW, CAP, RYT
• Dharam Persaud-Sharma, MD/PHD
• Jeanne E. Peterson, PSY.D.
• Lane C Peterson, DO
• Jason Michael Petty, HIS
• Erika Marques Pfeiffer, LMT
• Nhathy Pham, O.D.
• Brandy Phillips
• Kaleb Phillips

• General Practice Dentistry in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.