Individual provider · Type 1 NPI

Theodora Kalonaros Dietrich, DDS

Dentist · Port Charlotte, FL

NPI number 1144435090 Active

Practice location

17178 Toledo Blade Blvd
Port Charlotte, FL 33954-2626

Fax (941) 625-4349

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	DN10474 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1144435090

Theodora Kalonaros Dietrich, DDS's National Provider Identifier is 1144435090, issued on May 14, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Port Charlotte, FL. The record was last updated on Jul 8, 2007.