Individual provider · Type 1 NPI

Peter J. Theodorou, DMD, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Grapevine, TX

NPI number 1598899049 Active · reactivated Apr 7, 2021

Practice location

2800 William D Tate Ave Ste 100
Grapevine, TX 76051-4325

Specialties and licenses

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1598899049

Peter J. Theodorou, DMD, MS's National Provider Identifier is 1598899049, issued on Mar 15, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Grapevine, TX. The record was last updated on Nov 12, 2021.