DR. PETER THEOHARIDIS (NPI# 1831176494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831176494 |
| Entity Type | Individual |
| Full Name | DR. PETER THEOHARIDIS |
| Credential | D.M.D. |
| Practice Address |
241 Station Ave South Yarmouth MA 02664-1863 |
| Practice Telephone | 5083986055 |
| Practice Fax Number | 5083987228 |
| Mailing Telephone | 5083986055 |
| Mailing Fax Number | 5083987228 |
| Enumeration Date | 2005-12-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
17344 | MA | Dental Providers |
| Street Address |
241 STATION AVE |
| City | SOUTH YARMOUTH |
| State | MA |
| Zip Code | 02664-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518089184 | Theoharidis & Meier PC | Dentist | 241 Station Ave, South Yarmouth, MA 02664-1863 | 2007-04-04 |
| 1851378442 | Paul F Fitzgerald | Dentist | 241 Station Ave, South Yarmouth, MA 02664-1863 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730721648 | Taylor Drew | Behavior Technician | 435 Station Ave., Unit B, South Yarmouth, MA 02664 | 2019-10-11 |
| 1114428794 | Emily Rose Clark | Behavioral Analyst | 936b Station Ave, Yarmouth, MA 02664 | 2018-02-28 |
| 1124547906 | Kylie Joanne Zurn | Speech-Language Pathologist | 76 Phyllis Drive, South Yarmouth, MA 02664 | 2017-09-13 |
| 1841731338 | Meagan Pavao | Counselor | 31 Workshop Road, South Yarmouth, MA 02664 | 2017-03-16 |
| 1205296878 | Howayne A L Hamilton | Behavioral Analyst | 107 West Great Western Road, South Yarmouth, MA 02664 | 2016-02-25 |
| 1053656371 | Susan Elizabeth Davenport | Nurse Practitioner | 23 F. Whites Path, South Yarmouth, MA 02664 | 2012-11-28 |
| 1649444514 | Transitions Centers Inc. | Day Training, Developmentally Disabled Services | 782 Route 28, South Yarmouth, MA 02664 | 2008-04-22 |
| 1902934326 | David Mishkin | Clinical Neuropsychologist | 23p2 Union Station- Whites Path, S. Yarmouth, MA 02664 | 2007-02-28 |
| 1841343084 | Kristin Elizabeth Schmidt | Counselor | 50 Long Pond Dr, South Yarmouth, MA 02664 | 2007-01-19 |
| 1578628111 | Rhetta Annie Scott | Social Worker | 50 Long Pond Drive, South Yarmouth, MA 02664 | 2006-12-26 |
| Find all providers in zip 02664 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851378442 | Paul F Fitzgerald | Dentist | 241 Station Ave, South Yarmouth, MA 02664-1863 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861960270 | Southbridge Place Dental, P.C. | Dentist | 544 Southbridge St, Worcester, MA 01610-1716 | 2018-11-05 |
| 1851651368 | Louis M Abbey | Dentist | 25 1st St, 4th Floor, Cambridge, MA 02141-1802 | 2012-05-18 |
| 1275708455 | Devaki Sundararajan | Dentist | 100 E Newton St # G04, Oral Pathology Department, Boston, MA 02118-2308 | 2008-04-28 |
| 1538287859 | Peter Christopher Morris | Dentist | 400 Union Ave, Framingham, MA 01702-5889 | 2007-03-26 |
| 1295819217 | Mark A Lerman | Dentist | 1 Kneeland St Rm 646, Boston, MA 02111-1527 | 2006-10-25 |
| 1255441804 | Sadru P Kabani | Dentist | 100 E Newton St G-04, Bonston Univ of Dental Med, Dept of Oral & Maxillo Path, Boston, MA 02118-2308 | 2006-08-30 |
| 1902910094 | Vincent Paul Phillipino | Dentist | 16 Bramble Bush Dr, Falmouth, MA 02540-2325 | 2006-08-18 |
| 1609886720 | Dental Surgeons of Fall River, PC | Dentist | 180 Elsbree St, Fall River, MA 02720-7212 | 2006-08-09 |
| 1265442321 | Mark J Milano | Dentist | 516 Hawthorn St, Suite1 Fl 1, N Dartmouth, MA 02747-3733 | 2006-08-09 |
| 1154331395 | John A Marshall | Dentist | 180 Elsbree Street, Fall River, MA 02720 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH YARMOUTH |
| Zip Code | 02664 |
Please comment or provide details below to improve the information on DR. PETER THEOHARIDIS.
| 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.