Peter J Theodorou in Grapevine - Orthodontics And Dentofacial Orthopedics
Peter J Theodorou - NPI 1598899049
Peter J Theodorou is a Orthodontics And Dentofacial Orthopedics in Grapevine, Texas. Peter J Theodorou practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Peter J Theodorou is 1598899049. The last update date is 2021-11-12.
Peter J Theodorou's current location address is 2800 William D Tate Ave Ste 100, Grapevine, Texas. You can contact this provider via phone number 8175622222. The mailing address for Peter J Theodorou is 2800 William D Tate Ave Ste 100, Grapevine, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter J Theodorou |
|---|---|
| Address | 2800 William D Tate Ave Ste 100, Grapevine, Texas |
| Phone Number | 8175622222 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD, MS |
NPI Number Detail
| NPI Number | 1598899049 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2021-11-12 |
Provider Mailing Address Detail
| Address | 2800 William D Tate Ave Ste 100 |
|---|---|
| City | Grapevine |
| State | Texas (TX) |
| Post Code | 760514325 |
| Phone Number | 8175622222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 50920 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the Peter J Theodorou's unique identification number?
The Peter J Theodorou has been assigned the NPI (National Provider Identifier) Number 1598899049 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Peter J Theodorou?
The Peter J Theodorou is situated at 2800 William D Tate Ave Ste 100, in the city of Grapevine, state of TX, with the zip code 760514325.
What is the Peter J Theodorou's specialty and taxonomy code?
The Peter J Theodorou's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
When did the Peter J Theodorou receive its 1598899049?
The Peter J Theodorou was issued its 1598899049 on 2007-03-15, which is the date when the organization was assigned this unique identifier.
As of what date were the Peter J Theodorou's details last updated?
The information pertaining to the Peter J Theodorou, including its address, specialty, and other details, was most recently updated on 2021-11-12.
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