DR. STAVROS PAPAERACLEOUS


Address: 6304 Kenwood Ave, Ste 5, Baltimore, MD 21237
Phone: 4108666660

DR. STAVROS PAPAERACLEOUS (NPI# 1073551768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073551768
Entity Type Individual
Full Name DR. STAVROS PAPAERACLEOUS
Other Name DR. STEVE PAPPAS
Credential DDS
Practice Address 6304 Kenwood Ave
Ste 5
Baltimore
MD 21237
Practice Telephone 4108666660
Practice Fax Number 4108661557
Mailing Telephone 4108666660
Mailing Fax Number 4108661557
Enumeration Date 2006-06-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 8530 MD Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD CAREFIRST BC BS 4976 01
MD CIGNA HMO 103021 01
MD AETNA HMO 19584 01
MD UNITED CONCORDIA 588871 01

Office Location

Street Address 6304 KENWOOD AVE
STE 5
City BALTIMORE
State MD
Zip Code 21237

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619141462 Michael W Clisham Dpm Podiatrist 6304 Kenwood Ave, 3, Baltimore, MD 21237 2008-04-14
1366546749 Michael Clisham Podiatrist 6304 Kenwood Ave, 3, Baltimore, MD 21237-2002 2006-09-07
1346251337 John Crowther Brummer Dentist 6304 Kenwood Ave, Baltimore, MD 21237 2006-08-11
1699795930 Evan N Padousis Dentist 6304 Kenwood Ave, Suite 5, Baltimore, MD 21237 2006-07-20

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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750999736 Kyung Min Shin Dentist 11 S Eutaw St Apt 1609, Baltimore, MD 21201-1638 2020-07-16
1649897935 Cory Kyser Dentist 1900 E Northern Pkwy Ste 103, Baltimore, MD 21239-2109 2020-07-02
1841814845 Michael Listhaus Dentist 650 W Baltimore St Rm 2204, Baltimore, MD 21201-1510 2020-06-04
1598325904 Chelsea Merritt Dentist 2 N Charles St Ste 130, Baltimore, MD 21201-3715 2019-06-18
1699235036 Alyssa M Dierkes Dentist 10 Light St Unit 1002, Baltimore, MD 21202-1476 2019-03-21
1841777323 Nikta Pashai Dentist 4660 Wilkens Ave Ste 301, Baltimore, MD 21229-4845 2018-07-26
1003306671 Bk Faithful Enterprises Consulting, LLC Dentist 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 2018-05-18
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1578085593 Rabia Eltaf Dentist 1010 S Northpoint Rd, Baltimore, MD 21224-3307 2017-07-11
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Competitor

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City BALTIMORE
Zip Code 21237

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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