Provider Demographics
NPI:1972662062
Name:PAPAGEORGIOU, NIKOLAOS (DDS)
Entity Type:Individual
Prefix:MR
First Name:NIKOLAOS
Middle Name:
Last Name:PAPAGEORGIOU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44330 PREMIER PLZ
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5070
Mailing Address - Country:US
Mailing Address - Phone:703-433-9516
Mailing Address - Fax:703-433-9514
Practice Address - Street 1:44330 PREMIER PLZ
Practice Address - Street 2:SUITE 200
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5070
Practice Address - Country:US
Practice Address - Phone:703-433-9516
Practice Address - Fax:703-433-9514
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014100421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice