Provider Demographics
NPI:1669481669
Name:TZIROS, PETER D (DMD, MPH)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:D
Last Name:TZIROS
Suffix:
Gender:M
Credentials:DMD, MPH
Other - Prefix:DR
Other - First Name:PANAGIOTIS
Other - Middle Name:D
Other - Last Name:TZIROS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD, MPH
Mailing Address - Street 1:1650 ELM ST
Mailing Address - Street 2:SUITE 403
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1217
Mailing Address - Country:US
Mailing Address - Phone:603-668-3636
Mailing Address - Fax:603-668-3656
Practice Address - Street 1:1650 ELM ST
Practice Address - Street 2:SUITE 403
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1217
Practice Address - Country:US
Practice Address - Phone:603-668-3636
Practice Address - Fax:603-668-3656
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA210331223E0200X
NH036111223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics