IndividualActive
Peter Theoharidis, D.M.D.
NPI 1831176494 · Oral and Maxillofacial Pathology Dentistry · South Yarmouth, MA
Provider details
- NPI number
- 1831176494
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- License
- 17344 (MA)
Specialties & taxonomies
Dental Providers
Practice location
241 Station Ave
South Yarmouth, MA 02664-1863
Phone: (508) 398-6055
Fax: (508) 398-7228
Approximate (ZIP-level) locationGet directions
Mailing address
241 Station Ave
South Yarmouth, MA 02664-1863
Registry dates
- Enumerated
- 2005-12-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.