Nikolaos Theodorou in Canoga Park - General Practice

Nikolaos Theodorou - NPI 1245433283

Nikolaos Theodorou is a General Practice in Canoga Park, California. Nikolaos Theodorou practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nikolaos Theodorou is 1245433283. The last update date is 2020-03-09.

Nikolaos Theodorou's current location address is 19717 Sherman Way, Canoga Park, California. You can contact this provider via phone number 8187090090 and fax number 8187096002. The mailing address for Nikolaos Theodorou is 19717 Sherman Way, Canoga Park, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Nikolaos Theodorou
Address 19717 Sherman Way, Canoga Park, California
Phone Number 8187090090
Fax Number 8187096002
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1245433283
Provider Enumeration Date 2007-06-07
Last Updated Date 2020-03-09

Provider Mailing Address Detail

Address 19717 Sherman Way
City Canoga Park
State California (CA)
Post Code 91306
Phone Number 8187090090
Fax Number 8187096002

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 40029
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D40029 DENTICAL TREATING PROVIDE

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FAQs about Nikolaos Theodorou

What is the Nikolaos Theodorou's 1245433283?

The Nikolaos Theodorou's NPI (National Provider Identifier) Number is 1245433283. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Nikolaos Theodorou is physically located?

The Nikolaos Theodorou is physically situated at the following address: 19717 Sherman Way, Canoga Park, CA, 91306.

What is the Nikolaos Theodorou's specialty and taxonomy code?

The Nikolaos Theodorou's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1245433283 to Nikolaos Theodorou?

The Nikolaos Theodorou received its 1245433283 assignment from the Centers for Medicare & Medicaid Services on 2007-06-07.

When was the information regarding Nikolaos Theodorou, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Nikolaos Theodorou, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-03-09.

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