Provider Demographics
NPI:1154445567
Name:PAPAPETROS, NICHOLAS THEODORE II (DMD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:THEODORE
Last Name:PAPAPETROS
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BARNARD ST
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3601
Mailing Address - Country:US
Mailing Address - Phone:978-475-5333
Mailing Address - Fax:978-470-0287
Practice Address - Street 1:21 BARNARD ST
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810
Practice Address - Country:US
Practice Address - Phone:978-475-5333
Practice Address - Fax:978-470-0287
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18093122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist