Provider Demographics
NPI:1518653773
Name:DENTAL THEORY BRANDON
Entity Type:Organization
Organization Name:DENTAL THEORY BRANDON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:KARAPASHA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:813-822-3058
Mailing Address - Street 1:1168 BELL SHOALS RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-9014
Mailing Address - Country:US
Mailing Address - Phone:813-822-3058
Mailing Address - Fax:813-822-3059
Practice Address - Street 1:1168 BELL SHOALS RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-9014
Practice Address - Country:US
Practice Address - Phone:813-822-3058
Practice Address - Fax:813-822-3059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty