DR. VICKI C PETROPOULOS (NPI# 1982883575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982883575 |
| Entity Type | Individual |
| Full Name | DR. VICKI C PETROPOULOS |
| Credential | DMD, MS |
| Practice Address |
220 S 40th St Ste 201c Philadelphia PA 19104-3543 |
| Mailing Address |
718 S American St Philadelphia PA 19147-3301 |
| Practice Telephone | 2158988980 |
| Mailing Telephone | 2673420372 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DS0276299-L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184931545 | Vicki Nichole Petropoulos | Counselor | 505 N Euclid St, Anaheim, CA 92801-5506 | 2010-09-07 |
| Street Address |
220 S 40TH ST STE 201C |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831426196 | David J. Fox, D.m.d., P.C. | Dentist | 2401 Pennsylvania Ave Ste 1a8, Philadelphia, PA 19130-3002 | 2009-11-06 |
| 1720246648 | Leslie Stone Stone Hirsh | Dentist | 1420 Locust Street, Suite 120, Philadelphia, PA 19102 | 2008-05-28 |
| 1457482812 | Yeun-june Park | Dentist | 1512 Sansom St, #300, Philadelphia, PA 19102-2809 | 2007-03-08 |
| 1609906163 | Richard S Vanni Jr. | Dentist | 2867 Holme Ave, Philadelphia, PA 19152-2118 | 2007-03-06 |
| 1881707438 | Prosthodontics Limited, PC | Dentist | 8021 Castor Ave, Suite B, Philadelphia, PA 19152-2733 | 2006-08-17 |
| 1821034588 | Najeed Saleh | Dentist | 240 S 40th St, Philadelphia, PA 19104-6030 | 2006-06-21 |
| 1023626413 | Amsterdam, Weisgold, Baumgarten, Ingber, & Fraiman | Dentist | 100 S Broad St Ste 2000, Philadelphia, PA 19110-1009 | 2020-07-21 |
| 1346778651 | Loren Nicole Genetti | Dentist | 8021b Castor Ave, Philadelphia, PA 19152-2733 | 2017-05-31 |
| 1164709093 | Park Dental Associates P.C. | Dentist | 1512 Sansom St, #300, Philadelphia, PA 19102-2809 | 2011-11-06 |
| 1699088534 | Evanthia Anadioti | Dentist | 240 S 40th St, Philadelphia, PA 19104-6030 | 2010-07-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on DR. VICKI C PETROPOULOS.
| 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.