THEODOROU DENTAL PARTNERS LLC (NPI# 1629382049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629382049 |
| Entity Type | Organization |
| Organization Name | THEODOROU DENTAL PARTNERS LLC |
| Other Organization Name | THEODOROU DENTAL PARTNERS LLC |
| Practice Address |
118 Tilley Dr Suite 101 South Burlington VT 05403-4450 |
| Practice Telephone | 8028633950 |
| Practice Fax Number | 8028636013 |
| Mailing Telephone | 8028633950 |
| Mailing Fax Number | 8028636013 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2011-09-21 |
| Authorized Official Name | CHRIST B THEODOROU (OWNER/DENTIST) |
| Authorized Official Telephone | 8028633950 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 77880 | VT | Dental Providers |
| Other Name | Type Code |
|---|---|
| Theodorou Dental Partners LLC | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | THEODOROU DENTAL PARTNERS LLC | 1911 Detroit Road, Suite #206, Rocky River, OH 44116 |
| Street Address |
118 TILLEY DR SUITE 101 |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-4450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760452437 | James Edward Freeman Iv | Dentist | 118 Tilley Dr, Ste 102, South Burlington, VT 05403 | 2006-01-25 |
| 1104229475 | Cvoms Associates, PC | Dentist | 118 Tilley Dr, South Burlington, VT 05403-4450 | 2014-10-01 |
| 1437564580 | Tyler Mills Aten | Dentist | 118 Tilley Dr, Suite 101, South Burlington, VT 05403-4450 | 2014-06-27 |
| 1750673562 | Ryan Mikhail David Calvi | Dentist | 118 Tilley Dr, Suite 102, South Burlington, VT 05403-4450 | 2011-05-11 |
| 1144414004 | Richard Cordero | Dentist | 118 Tilley Dr, Suite 102, South Burlington, VT 05403-4450 | 2007-09-04 |
| 1316147838 | David F Gage | Dentist | 118 Tilley Dr, 101, South Burlington, VT 05403-4450 | 2007-07-23 |
| 1710047725 | Champlain Valley Oral and Maxillofacial Surgery PC | Dentist | 118 Tilley Dr, Suite102, South Burlington, VT 05403-4450 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
| Find all providers in zip 05403 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508398272 | James Baker | Dentist | 110 Kimball Ave Ste 210, South Burlington, VT 05403-6841 | 2017-03-31 |
| 1528476223 | Affordable Dentures - Burlington Ll, P. C. | Dentist | 1162 Williston Rd, South Burlington, VT 05403-5723 | 2014-07-25 |
| 1285916197 | Christopher John Smart | Dentist | 45 Timber Ln, South Burlington, VT 05403-5201 | 2011-09-16 |
| 1326364357 | Adam Linwood Holt | Dentist | 150 Dorset St Ste 260, South Burlington, VT 05403-6238 | 2010-04-15 |
| 1962512038 | Kenneth Joseph Stavisky | Dentist | 99 Swift St, Suite 115, South Burlington, VT 05403-7324 | 2006-08-30 |
| 1831798057 | Kamleshwar Pareek | Dentist | 165 Dorset St, South Burlington, VT 05403-6251 | 2020-10-19 |
| 1649880733 | Affordable Dentures & Implants - Burlington Vt, P.C. | Dentist | 1162 Williston Rd, South Burlington, VT 05403-5723 | 2020-08-04 |
| 1659814176 | Affordable Dentures - Burlington IIi, P.C. | Dentist | 1162 Williston Rd, South Burlington, VT 05403-5723 | 2016-12-01 |
| 1770945339 | Angela Dunkling | Dentist | 1060 Hinesburg Rd, Suite 201, South Burlington, VT 05403-7628 | 2016-03-23 |
| 1538549605 | Mokhtar Boushaba | Dentist | 165 Dorset St, South Burlington, VT 05403-6251 | 2015-06-04 |
| Find all providers in SOUTH BURLINGTON | ||||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
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| 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.