Peter Theoharidis in South Yarmouth - Oral And Maxillofacial Pathology

Peter Theoharidis - NPI 1831176494

Peter Theoharidis is a Oral And Maxillofacial Pathology in South Yarmouth, Massachusetts. Peter Theoharidis practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Peter Theoharidis is 1831176494. The last update date is 2007-07-08.

Peter Theoharidis's current location address is 241 Station Ave, South Yarmouth, Massachusetts. You can contact this provider via phone number 5083986055 and fax number 5083987228. The mailing address for Peter Theoharidis is 241 Station Ave, South Yarmouth, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Theoharidis
Address 241 Station Ave, South Yarmouth, Massachusetts
Phone Number 5083986055
Fax Number 5083987228
Sole Proprietor X
Credentials D.M.D.

NPI Number Detail

NPI Number 1831176494
Provider Enumeration Date 2005-12-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 241 Station Ave
City South Yarmouth
State Massachusetts (MA)
Post Code 26641863
Phone Number 5083986055
Fax Number 5083987228

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No 17344
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

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FAQs about Peter Theoharidis

What is the unique 10-digit identifier code assigned to Peter Theoharidis by the Centers for Medicare & Medicaid Services?

The Peter Theoharidis has been issued the NPI (National Provider Identifier) 1831176494 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Peter Theoharidis is geographically located?

The Peter Theoharidis is physically situated at the following location: 241 Station Ave, South Yarmouth, MA, 26641863.

What is Peter Theoharidis's specialized field of practice, and what is the corresponding taxonomy classification code?

The Peter Theoharidis's area of specialization is Oral And Maxillofacial Pathology, and the corresponding taxonomy code that categorizes this field of practice is 1223P0106X.

On what date did the Peter Theoharidis receive the assignment of its 1831176494 from the Centers for Medicare & Medicaid Services?

The Peter Theoharidis was issued its 1831176494 by the Centers for Medicare & Medicaid Services on 2005-12-26.

When was the information pertaining to Peter Theoharidis most recently updated or revised?

The details related to Peter Theoharidis, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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