Theodorou, Anastasia

Theodorou, Anastasia is an sole proprietor health care provider with primary practice located at 19111 Detroit Rd Ste 204 , Rocky River OH 44116-1740. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Theodorou, Anastasia can be contacted via phone (440) 356-1000.

Contact Information

Primary practice address
19111 Detroit Rd Ste 204 Rocky River OH 44116-1740
Phone: (440) 356-1000
Fax: (440) 356-2090
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3712 Maine

Profile Details

NPI number 1407958960
LBN Legal business name Theodorou, Anastasia
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2006
Last updated Aug 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407958960 NPPES
Ohio MEDICAID 0402338

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