Steven C Demetriou in Tewksbury - Pediatric Dentistry
Steven C Demetriou - NPI 1053328021
Steven C Demetriou is a Pediatric Dentistry in Tewksbury, Massachusetts. Steven C Demetriou practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Steven C Demetriou is 1053328021. The last update date is 2007-07-08.
Steven C Demetriou's current location address is 1147 Main St Ste 204, Tewksbury, Massachusetts. You can contact this provider via phone number 9788916334 and fax number 9788515080. The mailing address for Steven C Demetriou is 1147 Main St Ste 204, Tewksbury, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven C Demetriou |
|---|---|
| Address | 1147 Main St Ste 204, Tewksbury, Massachusetts |
| Phone Number | 9788916334 |
| Fax Number | 9788515080 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1053328021 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1147 Main St Ste 204 |
|---|---|
| City | Tewksbury |
| State | Massachusetts (MA) |
| Post Code | 18762012 |
| Phone Number | 9788916334 |
| Fax Number | 9788515080 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 15185 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 265314 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Steven C Demetriou by the Centers for Medicare & Medicaid Services?
The Steven C Demetriou has been issued the NPI (National Provider Identifier) 1053328021 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 location address where Steven C Demetriou's facilities are situated?
The facilities of Steven C Demetriou are physically located at the following address: 1147 Main St Ste 204, Tewksbury, MA, 18762012.
What is the Steven C Demetriou's specialty and taxonomy code?
The Steven C Demetriou's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
When did Steven C Demetriou receive its 1053328021 assignment?
The Steven C Demetriou was assigned its 1053328021 on 2006-08-02, which is the date when this unique identifier was issued to the organization.
When was the information related to Steven C Demetriou most recently updated or refreshed?
The details pertaining to the Steven C Demetriou, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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