Theoharidis, Peter

Theoharidis, Peter is an individual health care provider with primary practice located at 241 Station Ave , South Yarmouth MA 02664-1863. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Theoharidis, Peter can be contacted via phone (508) 398-6055.

Contact Information

Primary practice address
241 Station Ave South Yarmouth MA 02664-1863
Phone: (508) 398-6055
Fax: (508) 398-7228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 17344 Massachusetts

Profile Details

NPI number 1831176494
LBN Legal business name Theoharidis, Peter
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2005
Last updated Jul 8th, 2007 - about 19 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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