Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER J THEODOROU, DMD, MS
Deactivated Sole ProprietorDR. PETER J THEODOROU, DMD, MS is a Orthodontics healthcare provider located in GRAPEVINE, Texas. NPI 1598899049 is deactivated in the NPPES registry. Verify at CMS.
Orthodontics · GRAPEVINE, TX
This NPI has been deactivated.
The record was deactivated on March 16, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1598899049
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2007 (14.002739726027 yrs)
- Last Updated
- Nov 12, 2021
- Deactivated
- Mar 16, 2021
- Licenses
-
050920 (NY)103444 (CA)37106 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2800 WILLIAM D TATE AVE STE 100GRAPEVINE, TX, 760514325Browse TX providers · Browse ZIP 76051
- Phone
- 8175622222
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in GRAPEVINE, TX
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL ROBERT ROBINSON | DMD | 1922283944 |
| NOAH FALLS | DDS | 1992509228 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.