DR. PETER THEOHARIDIS


Address: 241 Station Ave, South Yarmouth, MA 02664-1863
Phone: 5083986055

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0106X Dentist
Specialization: Oral and Maxillofacial Pathology
17344 MA Dental Providers

Office Location

Street Address 241 STATION AVE
City SOUTH YARMOUTH
State MA
Zip Code 02664-1863

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1223P0106X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Pathology

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851378442 Paul F Fitzgerald Dentist 241 Station Ave, South Yarmouth, MA 02664-1863 2005-12-27

Providers in the same taxonomy and state

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

Competitor

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City SOUTH YARMOUTH
Zip Code 02664

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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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