Active NPIIndividual provider

Dr. Peter Theoharidis, DMD

Dentist, Oral and Maxillofacial Pathology in South Yarmouth, Massachusetts

NPI Number1831176494
Practice location
241 Station Ave, South Yarmouth, MA 02664-1863
Fax
508-398-7228
Last updated
July 13, 2026

Peter Theoharidis is a Dentist, Oral and Maxillofacial Pathology based in South Yarmouth, MA. Peter Theoharidis practices in South Yarmouth, MA and has the professional credentials of DMD. The NPI Number for Peter Theoharidis is 1831176494 and holds a License No. 17344 (MA). The current practice location address for Peter Theoharidis is 241 Station Ave, South Yarmouth, MA 02664-1863 and can be reached out via phone at 508-398-6055 and via fax at 508-398-7228.

Provider Profile Details

NPI Number
1831176494
Provider Name
Peter Theoharidis
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
241 Station Ave, South Yarmouth, MA 02664-1863
Phone Number
508-398-6055
Fax Number
508-398-7228
Primary Taxonomy
Dentist, Oral and Maxillofacial Pathology · 1223P0106X
Sole Proprietor
No
Provider Enumeration Date
December 26, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
241 Station Ave
South Yarmouth, MA 02664-1863
Zip
02664-1863
Phone Number
508-398-6055
Fax Number
508-398-7228
South Yarmouth, MA 02664Get directions →

Provider Business Mailing Address Details

Address
241 Station Ave
South Yarmouth, MA 02664-1863
City
South Yarmouth
State
MA
Zip
02664-1863
Phone Number
508-398-6055
Fax Number
508-398-7228

License Information

License Number
17344
License State
MA
Taxonomy
Dentist, Oral and Maxillofacial Pathology · 1223P0106X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Peter Theoharidis, DMD?

The NPI number of Dr. Peter Theoharidis, DMD is 1831176494. It was assigned on December 26, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Peter Theoharidis, DMD?

Dr. Peter Theoharidis, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Pathology (code 1223P0106X), licensed in MA under license number 17344.

Where does Dr. Peter Theoharidis, DMD practice?

The practice location is 241 Station Ave, South Yarmouth, MA 02664-1863. The office can be reached at 508-398-6055 (phone) or 508-398-7228 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831176494 directly on the NPPES registry website.

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