Provider Demographics
NPI:1679839120
Name:STILES FAMILY DENTISTRY, P.C.
Entity Type:Organization
Organization Name:STILES FAMILY DENTISTRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:THEODORE
Authorized Official - Last Name:PAPAPETROS
Authorized Official - Suffix:II
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-886-2678
Mailing Address - Street 1:95 CAMPION RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-1231
Mailing Address - Country:US
Mailing Address - Phone:978-258-8624
Mailing Address - Fax:
Practice Address - Street 1:32 STILES RD STE 205
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2893
Practice Address - Country:US
Practice Address - Phone:603-893-4538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03879261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental